LARRY LEYDERMAN (PA-C) – Physician Assistant, NPI 1609143270
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for LARRY LEYDERMAN (PA-C)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 338054543
Phone: (863) 687-1321
Fax: (863) 284-1730
Type: Location
36556 N MILL CREEK DR
GURNEE, IL 600314528
Phone: (847) 372-4939
Type: Mailing
777 PARK AVE W
B-131-A
HIGHLAND PARK, IL 600352433
Phone: (847) 926-5844
Type: Location
13933 17TH ST STE 200
DADE CITY, FL 335254604
Phone: (352) 437-5972
Fax: (352) 437-5974
Type: Location
1324 Lakeland Hills Blvd
Lakeland, FL 338054543
Phone: (863) 687-1321
Fax: (863) 284-1730
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $1,161.
Total Amount is formed as General ($1,161) + Research ($0) + Ownership ($0) = $1,161.
Last reported payment date: 2023-10-13 • Largest payer in this snapshot: Arthrex, Inc. ($970).
Total Amount
$1,161
General + Research + Ownership
Payments
13
Total payment records
General Amount
$1,161
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $970 |
| Medical Device Business Services, Inc. | $98 |
| MVP Orthopedics Inc | $78 |
| Coastal Medical Technologies LLC | $15 |
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: 2022-04-06
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 |
|---|---|---|---|---|
| I20220406001327 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 33805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | TX | |
| - | FL | |
| - | FL | |
| Physical Medicine And Rehabilitation | MD | |
| Nurse Practitioner | FL | |
| - | FL | |
| Thoracic Surgery | OH | |
| Nurse Practitioner | FL | |
| Family Practice | FL |
Reviews
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