PHILIP DEMETRIOS KONDYLIS (MD) – Colon & Rectal Surgery Physician, NPI 1407842016

PHILIP DEMETRIOS KONDYLIS (MD) is a healthcare provider. based in Kissimmee, Florida. specializing in COLORECTAL SURGERY (PROCTOLOGY). They hold the professional credentials MD. They hold a License No. MD062356L (PA). The NPI Number for PHILIP DEMETRIOS KONDYLIS (MD) is 1407842016

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP DEMETRIOS KONDYLIS (MD)
NPI
1407842016
Phone
(407) 279-4020
Address
720 W OAK ST
Enumeration Date
20 September 2005
Last Update Date
13 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
8144532777
Graduation Year
1992 (34 years ago)
PAC ID
3779587332
Group Practice PAC ID
3870405137
Professional Enrollment ID
I20100820000279
Address ID
PA165022858ER145XXSTXX403

Contacts

Secure Messaging
PHILIP.KONDYLIS@hca4.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

167 COLORECTAL SURGERY (PROCTOLOGY) in PA

Provider Addresses for PHILIP DEMETRIOS KONDYLIS (MD)

  • 720, West Oak Street, Kissimmee, Osceola County, Florida, 34741, United States

    SUITE 360

    KISSIMMEE, FL 347414989

    Phone: (407) 279-4020

    Fax: (407) 279-4005

    Type: Mailing

  • 145 W 23RD ST STE 201

    ERIE, PA 165022858

    Phone: (814) 453-2777

    Fax: (814) 453-2779

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-08-01 • Largest payer in this snapshot: CSL Behring ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$125
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100820000279IColorectal Surgery (Proctology)PATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4416$0
46600Diagnostic exam of anus using an endoscope1814$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
99205New patient office or other outpatient visit, 60-74 minutes1515$0
99215Established patient office or other outpatient visit, 40-54 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 34741)

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Provider's Procedures

PHILIP DEMETRIOS KONDYLIS (MD) performs procedures in COLORECTAL SURGERY (PROCTOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
COLORECTAL SURGERY (PROCTOLOGY)FL45385Removal of polyps or growths of large bowel using an endoscope1211

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870405137View full group profile

Reviews

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Frequently asked questions

What is the registry number for PHILIP DEMETRIOS KONDYLIS (MD)?
The registry entry for PHILIP DEMETRIOS KONDYLIS (MD) shows NPI 1407842016.
Is PHILIP DEMETRIOS KONDYLIS (MD) currently accepting referrals based on NPI status?
Registry metadata lists PHILIP DEMETRIOS KONDYLIS (MD) as active.
How should patients interpret PHILIP DEMETRIOS KONDYLIS (MD)'s specialty?
The extract shows Colon & Rectal Surgery Physician for PHILIP DEMETRIOS KONDYLIS (MD). Clinical services aligned with this taxonomy classification.
Is PHILIP DEMETRIOS KONDYLIS (MD) tied to Kissimmee, Florida?
If you are local to Kissimmee, Florida, PHILIP DEMETRIOS KONDYLIS (MD) may be relevant to your search.
Can I export PHILIP DEMETRIOS KONDYLIS (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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