PABLO RODRIGO BANDERAS (P.A.) – Medical Physician Assistant, NPI 1609868835

PABLO RODRIGO BANDERAS (P.A.) is a healthcare provider. based in N fort myers, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA9100272 (FL). The NPI Number for PABLO RODRIGO BANDERAS (P.A.) is 1609868835

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
PABLO RODRIGO BANDERAS (P.A.)
NPI
1609868835
Phone
(877) 856-3774
Address
3434 HANCOCK BRIDGE PKWY
Enumeration Date
15 August 2005
Last Update Date
20 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2396939191
Graduation Year
1982 (44 years ago)
PAC ID
4183802911
Group Practice PAC ID
9830244433
Professional Enrollment ID
I20110627000744
Address ID
FL339053217FO4881XBLVD401
Telehealth
Yes
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

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for PABLO RODRIGO BANDERAS (P.A.)

  • 3434, Hancock Bridge Parkway, Marina Town Condo Apartments, North Fort Myers, Lee County, Florida, 33903, United States

    STE 301

    N FORT MYERS, FL 339037094

    Phone: (877) 856-3774

    Fax: (239) 856-3774

    Type: Mailing

  • 126, Del Prado Boulevard North, Cape Coral, Lee County, Florida, 33909, United States

    STE 104

    CAPE CORAL, FL 339092713

    Phone: (239) 573-1606

    Fax: (239) 573-1044

    Type: Location

  • 2675 WINKLER AVE FL 2

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 442 Open Payments records for all available years, with a total value of $11,066.

Total Amount is formed as General ($11,066) + Research ($0) + Ownership ($0) = $11,066.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,196).

Total Amount

$11,066

General + Research + Ownership

Payments

442

Total payment records

General Amount

$11,066

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-06-27

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
I20110627000744IPhysician AssistantFLTBD

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

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes286141$0
36415Insertion of needle into vein for collection of blood sample249110$0
80061Blood test, lipids (cholesterol and triglycerides)219104$0
80053Blood test, comprehensive group of blood chemicals214103$0
83036Hemoglobin a1c level10554$0
View full utilization report →

Insurance plans in this area (ZIP 33903)

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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: 9830244433View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
-FL
-FL
-FL
-FL
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

Can I cross-check PABLO RODRIGO BANDERAS (P.A.) using NPI 1609868835?
NPI 1609868835 belongs to PABLO RODRIGO BANDERAS (P.A.); compare other details if you need extra assurance.
Would PABLO RODRIGO BANDERAS (P.A.) appear as active to a payer?
You can treat PABLO RODRIGO BANDERAS (P.A.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for PABLO RODRIGO BANDERAS (P.A.)?
At a glance, PABLO RODRIGO BANDERAS (P.A.) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is PABLO RODRIGO BANDERAS (P.A.) located near N Fort Myers?
PABLO RODRIGO BANDERAS (P.A.) currently maps to N Fort Myers, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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