MR. FESTUS ADDO AGYEKUM (PA-C) – Physician Assistant, NPI 1508070913
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MR. FESTUS ADDO AGYEKUM (PA-C)
205 DR MARTIN LUTHER KING JR ST N
ST PETERSBURG, FL 337013109
Phone: (727) 824-6900
Type: Location
2649 FRONT SHED DR
FREDERICK, MD 217022839
Phone: (240) 215-1138
Fax: (240) 215-1140
Type: Mailing
1050 KEY PKWY STE 102
FREDERICK, MD 217024496
Phone: (240) 215-1138
Fax: (240) 215-1140
Type: Location
2302, Messenger Circle, Cypress Knoll, Safety Harbor, Pinellas County, Florida, 34695, United States
SAFETY HARBOR, FL 346955518
Phone:
Type: Mailing
6410 MERCANTILE DR E APT 205
FREDERICK, MD 217037625
Phone:
Type: Mailing
201 S CLEVELAND AVE
HAGERSTOWN, MD 217405745
Phone: (301) 745-3777
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 $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Lilly USA, LLC ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $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: 2021-01-12
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 |
|---|---|---|---|---|
| I20210112001748 | I | Physician Assistant | MD | 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 33701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD | |
| - | MD | |
| - | MD | |
| Physician Assistant | MD | |
| Internal Medicine | MD | |
| Internal Medicine | DC | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD | |
| Family Practice | MD |
Reviews
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