DR. DAVID RANDOLPH RIZZUTO (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1578524484

DR. DAVID RANDOLPH RIZZUTO (MD) is a healthcare provider. based in Leesburg, Florida. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold the professional credentials MD. They hold a License No. ME95008 (FL). The NPI Number for DR. DAVID RANDOLPH RIZZUTO (MD) is 1578524484

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID RANDOLPH RIZZUTO (MD)
NPI
1578524484
Phone
(352) 323-5300
Address
600 E DIXIE AVE
Enumeration Date
30 March 2006
Last Update Date
28 January 2022

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
3523654562
Graduation Year
1994 (32 years ago)
PAC ID
3375559198
Group Practice PAC ID
4082754676
Professional Enrollment ID
I20060302000269
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DAVID RANDOLPH RIZZUTO (MD)

  • Dixie Avenue, Leesburg, Lake County, Florida, 32748, United States

    LEESBURG, FL 347485925

    Phone: (352) 323-5300

    Type: Location

  • 732 N 3RD ST

    LEESBURG, FL 347484442

    Phone: (352) 265-8356

    Fax: (352) 787-0854

    Type: Location

  • PO BOX 100275

    GAINESVILLE, FL 326100275

    Phone: (352) 273-7839

    Fax: (352) 273-8172

    Type: Mailing

  • Bluefield Post Office, 507, Virginia Avenue, Bluefield, Tazewell County, Virginia, 24605, United States

    BLUEFIELD, WV 247011337

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-03-02

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
I20060302000269IPathologyFLTBD

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

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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 34748)

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Provider's Procedures

DR. DAVID RANDOLPH RIZZUTO (MD) performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYFL88304Pathology examination of tissue using a microscope, moderately low complexity197179
PATHOLOGYFL88307Pathology examination of tissue using a microscope, moderately high complexity187121
PATHOLOGYFL88312Special stained specimen slides to identify organisms including interpretation and report2822
PATHOLOGYFL88342Tissue or cell analysis by immunologic technique8263

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: 4082754676View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. DAVID RANDOLPH RIZZUTO (MD)?
Save NPI 1578524484 if you need a stable reference for DR. DAVID RANDOLPH RIZZUTO (MD).
Does this profile mean DR. DAVID RANDOLPH RIZZUTO (MD) is currently active?
Yes — DR. DAVID RANDOLPH RIZZUTO (MD) appears active in the national provider directory.
What kind of provider is DR. DAVID RANDOLPH RIZZUTO (MD)?
The page reflects Anatomic Pathology & Clinical Pathology Physician for DR. DAVID RANDOLPH RIZZUTO (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DAVID RANDOLPH RIZZUTO (MD)?
The page summarizes Leesburg, Florida for DR. DAVID RANDOLPH RIZZUTO (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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