DAVID M GONDEK (PA-C) – Surgical Physician Assistant, NPI 1487684528
Surgical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for DAVID M GONDEK (PA-C)
180 JFK DR STE 100
ATLANTIS, FL 334626641
Phone: (561) 967-6500
Fax: (561) 433-4175
Type: Mailing
4215 EDGEWATER DR
ORLANDO, FL 328042206
Phone: (407) 539-2000
Fax: (888) 972-3704
Type: Location
900 Village Square Xing Ste 170
Palm Beach Gardens, FL 334104549
Phone: (561) 627-8500
Fax: (844) 959-0418
Type: Location
4560 Lantana Rd Ste 100
Lake Worth, FL 334636998
Phone: (561) 967-4400
Fax: (844) 959-0419
Type: Location
PO BOX 4059
WAYNE, NJ 074744059
Phone: (973) 826-8080
Fax: (866) 309-3354
Type: Mailing
13696 N US HIGHWAY 441
LADY LAKE, FL 321596814
Phone: (352) 775-1221
Fax: (866) 531-8528
Type: Mailing
4560 LANTANA RD STE 100
LAKE WORTH, FL 334636998
Phone: (561) 967-4400
Fax: (844) 959-0419
Type: Mailing
900 VILLAGE SQUARE XING STE 170
PALM BEACH GARDENS, FL 334104549
Phone: (561) 627-8500
Fax: (844) 959-0418
Type: Location
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 $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-07-20 • Largest payer in this snapshot: Ethicon US, LLC ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $19 |
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: 2007-02-19
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 |
|---|---|---|---|---|
| I20070219000269 | 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 33462)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Hand Surgery, Orthopedic Surgery | FL | |
| P O D I A T R Y | FL | |
| Physician Assistant | FL | |
| Occupational Therapist In Private Practice | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Pediatric Medicine, Sports Medicine | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Physician Assistant | GA |
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