DR. ALFONZA JR. MCCOLLUM (M.D.) – Family Medicine Physician, NPI 1407844558
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Loading map...
Provider Addresses for DR. ALFONZA JR. MCCOLLUM (M.D.)
461, South Nova Road, Ormond Beach, Volusia County, Florida, 32174, United States
ORMOND BEACH, FL 331746138
Phone: (386) 671-4337
Fax: (386) 671-7242
Type: Location
P.O. BOX 9671
DAYTONA BEACH, FL 321209671
Phone: (386) 676-7130
Fax: (386) 676-7125
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $282.
Total Amount is formed as General ($282) + Research ($0) + Ownership ($0) = $282.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($187).
Total Amount
$282
General + Research + Ownership
Payments
10
Total payment records
General Amount
$282
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $187 |
| Exact Sciences Corporation | $51 |
| Merck Sharp & Dohme LLC | $28 |
| Amgen Inc. | $16 |
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: 2008-01-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080123000821 | I | Family Practice | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 15 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | 13 | $0 |
Insurance plans in this area (ZIP 33174)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Sports Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| - | WV | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| N E U R O L O G Y | FL | |
| Family Practice | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.