DR. AMANDA RATLIFF DAILEY – Family Medicine Physician, NPI 1588026728
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
419 SPORTS MEDICINE in FL
Provider Addresses for DR. AMANDA RATLIFF DAILEY
PO BOX 917770
ORLANDO, FL 328910001
Phone: (813) 821-8038
Type: Mailing
415 APOLLO BEACH BLVD
APOLLO BEACH, FL 335722281
Phone: (813) 645-8494
Fax: (813) 645-0912
Type: Location
807 N Myrtle Ave
Clearwater, FL 337554254
Phone: (727) 467-2400
Type: Location
17 Davis Blvd
Suite 308
Tampa, FL 336063475
Phone: (727) 467-2502
Type: Location
13330 Usf Laurel Dr
Tampa, FL 336126601
Phone: (813) 821-8014
Type: Location
Lakeland Regional Health Medical Center, 1324, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
MANAGED CARE DEPT
LAKELAND, FL 33805
Phone: (863) 687-1100
Fax: (863) 630-6528
Type: Mailing
3030, Harden Boulevard, Lakeland, Polk County, Florida, 33803, United States
LAKELAND, FL 338037952
Phone: (863) 284-5000
Fax: (863) 284-6716
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 $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Recor Medical Inc ($40).
Total Amount
$40
General + Research + Ownership
Payments
1
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Recor Medical Inc | $40 |
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: 2018-08-20
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 |
|---|---|---|---|---|
| I20180820000317 | I | Sports Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 73 | 59 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 11 | $0 |
Insurance plans in this area (ZIP 32891)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL | |
| Clinical Psychologist | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL |
Reviews
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