JUSTIN STODDARD BIDWELL (PA-C) – Physician Assistant, NPI 1437264256
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for JUSTIN STODDARD BIDWELL (PA-C)
2191 9th Ave N Ste 105
St Petersburg, FL 337137147
Phone: (727) 528-6100
Fax: (727) 528-7895
Type: Location
49th Street North, Live Oak, Saint Petersburg, Pinellas County, Florida, 33710, United States
SUITE N-104
ST PETERSBURG, FL 337092150
Phone: (727) 528-6100
Fax: (727) 528-7895
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $178.
Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Smith+Nephew, Inc. ($44).
Total Amount
$178
General + Research + Ownership
Payments
9
Total payment records
General Amount
$178
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $44 |
| Medtronic, Inc. | $36 |
| Zimmer Biomet Holdings, Inc. | $20 |
| Amgen Inc. | $18 |
| Avanos Medical | $17 |
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: 2005-03-17
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 |
|---|---|---|---|---|
| I20050317000136 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33713)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| Physician Assistant | FL | |
| Orthopedic Surgery | FL | |
| Physician Assistant | FL | |
| N E U R O L O G Y | FL | |
| Orthopedic Surgery | NY | |
| Physical Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL | |
| Physician Assistant | FL |
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