KATHLEEN ELIZABETH MINNICK (MD) – Surgery Physician, NPI 1609861202
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,166 GENERAL SURGERY in FL
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Provider Addresses for KATHLEEN ELIZABETH MINNICK (MD)
2234, Colonial Boulevard, Fort Myers, Lee County, Florida, 33907, United States
ATTN: PAYER CONTRACTING & RELATIONS DEPT.
FORT MYERS, FL 339071412
Phone: (239) 931-7342
Fax: (239) 931-7385
Type: Mailing
PO BOX 20800
BELFAST, ME 049154105
Phone: (561) 270-5505
Fax: (561) 437-0177
Type: Mailing
3319, State Road 7, Wellington, Palm Beach County, Florida, 33467, United States
STE. 105
WELLINGTON, FL 334498094
Phone: (561) 965-1100
Fax: (561) 965-4143
Type: Location
11551 SOUTHERN BLVD STE 2
ROYAL PALM BEACH, FL 334114254
Phone: (561) 594-1850
Fax: (561) 594-1855
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,103.
Total Amount is formed as General ($1,103) + Research ($0) + Ownership ($0) = $1,103.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($887).
Total Amount
$1,103
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Carl Zeiss Meditec USA, Inc. | $887 |
| MEDTEC LLC | $159 |
| Cook Medical LLC | $28 |
| Molli Surgical (us) Inc | $16 |
| Hologic Sales and Service, LLC | $13 |
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: 2010-08-09
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 |
|---|---|---|---|---|
| I20100809000063 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 55 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 41 | 35 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 33907)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | FL | 11042 | Removal of skin and tissue first 20 sq cm or less | 197 | 51 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | FL | |
| Nurse Practitioner | FL | |
| U R O L O G Y | NY | |
| - | FL | |
| Physician Assistant | MN | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| - | FL |
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