EDWIN S. MENOR (M.D.) – Surgery Physician, NPI 1619913191

EDWIN S. MENOR (M.D.) is a healthcare provider. based in The villages, Florida. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 13681 (NH). The NPI Number for EDWIN S. MENOR (M.D.) is 1619913191

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
EDWIN S. MENOR (M.D.)
NPI
1619913191
Phone
(352) 674-8700
Address
1020 LAKE SUMTER LNDG
Enumeration Date
21 June 2006
Last Update Date
10 February 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
4082686852
Group Practice PAC ID
2365679057
Professional Enrollment ID
I20040811000971
Address ID
FL335435453WE2700XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

2,163 GENERAL SURGERY in FL

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Provider Addresses for EDWIN S. MENOR (M.D.)

  • 1020, Lake Sumter Landing, The Villages, Sumter County, Florida, 32162, United States

    THE VILLAGES, FL 321622699

    Phone: (352) 674-8700

    Fax: (352) 674-8714

    Type: Mailing

  • US 27;US 441, Spanish Springs, The Villages, Lake County, Florida, 32159, United States

    SUITE 810

    THE VILLAGES, FL 321598975

    Phone: (352) 674-8700

    Fax: (352) 674-8714

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $22,212.

Total Amount is formed as General ($22,212) + Research ($0) + Ownership ($0) = $22,212.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Ethicon Inc. ($21,900).

Total Amount

$22,212

General + Research + Ownership

Payments

21

Total payment records

General Amount

$22,212

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2004-08-11

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
I20040811000971IGeneral SurgeryFLTBD

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
99204New patient office or other outpatient visit, 45-59 minutes4747$0
99214Established patient office or other outpatient visit, 30-39 minutes4030$0
47562Removal of gallbladder using an endoscope2121$0
49650Repair of groin hernia using an endoscope1919$0
49593Initial repair of sliding hernia of abdomen, 3-10 cm in length1111$0
View full utilization report →

Insurance plans in this area (ZIP 32162)

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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: 2365679057View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
-FL
Hospitalist, Internal MedicineFL
-FL
H O S P I T A L I S TCA
Hospitalist, Internal MedicineFL
-FL

Reviews

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Frequently asked questions

Is EDWIN S. MENOR (M.D.) listed with a National Provider Identifier?
Yes — EDWIN S. MENOR (M.D.) has NPI 1619913191 on file in the registry.
Would EDWIN S. MENOR (M.D.) appear as active to a payer?
You can treat EDWIN S. MENOR (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is EDWIN S. MENOR (M.D.)?
EDWIN S. MENOR (M.D.) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is EDWIN S. MENOR (M.D.) registered?
Use The Villages, Florida as the headline location for EDWIN S. MENOR (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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