ANTHONY RICHARD JR. PINE (P.A.) – Physician Assistant, NPI 1447234109

ANTHONY RICHARD JR. PINE (P.A.) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA9101826 (FL). The NPI Number for ANTHONY RICHARD JR. PINE (P.A.) is 1447234109

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY RICHARD JR. PINE (P.A.)
NPI
1447234109
Phone
(239) 343-2606
Address
2776 CLEVELAND AVE
Enumeration Date
5 December 2005
Last Update Date
5 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9418454621
Graduation Year
2001 (25 years ago)
PAC ID
2961492673
Group Practice PAC ID
6002240967
Professional Enrollment ID
I20040514000765
Address ID
FL342198701PA8927XNXXX503

Contacts

Secure Messaging
apine2234@Direct.leememorial.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for ANTHONY RICHARD JR. PINE (P.A.)

  • Lee Memorial Hospital, 2776, Cleveland Avenue, Edison Park Historic District, Fort Myers, Lee County, Florida, 33901, United States

    FORT MYERS, FL 339015855

    Phone: (239) 343-2606

    Fax: (239) 343-3695

    Type: Location

  • P.O. BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-2606

    Fax: (239) 343-3695

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $210.

Total Amount is formed as General ($210) + Research ($0) + Ownership ($0) = $210.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($65).

Total Amount

$210

General + Research + Ownership

Payments

10

Total payment records

General Amount

$210

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

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: 2004-05-14

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
I20040514000765IPhysician AssistantFLTBD

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
99285Emergency department visit with high level of medical decision making139139$0
99284Emergency department visit with moderate level of medical decision making103103$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8383$0
View full utilization report →

Insurance plans in this area (ZIP 33901)

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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: 6002240967View full group profile
NameSpecialtyState
Physician AssistantWI
Nurse PractitionerPA
-FL
Physician AssistantLA
Physician AssistantFL
Physician AssistantPA
Nurse PractitionerNH
Physician AssistantFL
Physician AssistantFL
-FL

Reviews

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Frequently asked questions

Does ANTHONY RICHARD JR. PINE (P.A.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ANTHONY RICHARD JR. PINE (P.A.) uses 1447234109.
Is ANTHONY RICHARD JR. PINE (P.A.) still practicing?
ANTHONY RICHARD JR. PINE (P.A.) is currently listed as active in the public NPI registry.
What is ANTHONY RICHARD JR. PINE (P.A.) best known for clinically?
Directory data describes ANTHONY RICHARD JR. PINE (P.A.) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is ANTHONY RICHARD JR. PINE (P.A.) based?
ANTHONY RICHARD JR. PINE (P.A.) is tied to Fort Myers, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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