DR. ALFREDO MENDOZA (MD) – Gastroenterology Physician, NPI 1649273871
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,474 GASTROENTEROLOGY in FL
Provider Addresses for DR. ALFREDO MENDOZA (MD)
4695 Van Dyke Rd
Lutz, FL 335584880
Phone: (813) 920-8882
Fax: (813) 920-8883
Type: Location
3001 EXECUTIVE DR STE 130
CLEARWATER, FL 337625323
Phone: (727) 347-0005
Fax: (813) 541-6558
Type: Mailing
Northwest Tampa Church of Christ, 7259, Sheldon Road, Lane Farms, Tampa, Hillsborough County, Florida, 33615, United States
TAMPA, FL 336263643
Phone: (813) 920-8882
Fax: (813) 920-8883
Type: Location
Ashington Park Drive, Tampa, Hillsborough County, Florida, 33647, United States
TAMPA, FL 336472644
Phone: (813) 920-8882
Fax: (813) 844-1655
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $274.
Total Amount is formed as General ($274) + Research ($0) + Ownership ($0) = $274.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($158).
Total Amount
$274
General + Research + Ownership
Payments
8
Total payment records
General Amount
$274
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-09-13
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 |
|---|---|---|---|---|
| I20050913000349 | I | Gastroenterology | 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 | 150 | 102 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 52 | 50 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 51 | 51 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 39 | 39 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 29 | 29 | $0 |
Insurance plans in this area (ZIP 33558)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | FL | 45385 | Removal of polyps or growths of large bowel using an endoscope | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| - | FL | |
| Internal Medicine, Gastroenterology | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Physician Assistant | FL | |
| - | FL |
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