MR. DONALD ROBERT ELTON (M.D.) – Pulmonary Disease Physician, NPI 1538126685
Pulmonary Disease Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,173 PULMONARY DISEASE in FL
Provider Addresses for MR. DONALD ROBERT ELTON (M.D.)
4553 Pleasant Hill Rd
Kissimmee, FL 347593422
Phone: (877) 352-5864
Type: Location
717 E Michigan St
Orlando, FL 328064645
Phone: (877) 352-5864
Type: Location
10920 Moss Park Rd Ste 100
Orlando, FL 328326087
Phone: (877) 352-5864
Type: Location
3480 POLYNESIAN ISLE BLVD
SUITE 204
KISSIMMEE, FL 347461818
Phone: (407) 507-2615
Fax: (407) 507-2616
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $6,248.
Total Amount is formed as General ($6,248) + Research ($0) + Ownership ($0) = $6,248.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($3,678).
Total Amount
$6,248
General + Research + Ownership
Payments
62
Total payment records
General Amount
$6,248
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Actelion Pharmaceuticals US, Inc. | $3,678 |
| AstraZeneca Pharmaceuticals LP | $432 |
| GlaxoSmithKline, LLC. | $383 |
| Grifols USA, LLC | $350 |
| GENZYME CORPORATION | $155 |
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: 2013-08-26
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 |
|---|---|---|---|---|
| I20130826000058 | I | Pulmonary Disease | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 474 | 176 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 337 | 165 | $0 |
| 99291 | Critical care, first 30-74 minutes | 211 | 83 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 199 | 114 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 103 | 95 | $0 |
Insurance plans in this area (ZIP 34759)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Critical Care (Intensivists), Pulmonary Disease | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| Critical Care (Intensivists) | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL |
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