DR. ANDREW MEDVEDOVSKY (MD) – Pain Medicine Physician, NPI 1649431594
Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
671 PAIN MANAGEMENT in FL
Provider Addresses for DR. ANDREW MEDVEDOVSKY (MD)
1361 13th Ave S Ste 250A
Jacksonville Beach, FL 322503233
Phone: (904) 310-6479
Type: Location
404 NW Hall Of Fame Dr
Lake City, FL 320554833
Phone: (386) 287-0410
Type: Location
1821 Blanding Blvd
Middleburg, FL 320683839
Phone: (904) 406-3160
Type: Location
705 WELLS RD SUITE 300
ORANGE PARK, FL 32073
Phone: (904) 282-6331
Fax: (904) 619-1080
Type: Mailing
5365 ATLANTIC AVE STE 504
DELRAY BEACH, FL 334848194
Phone: (561) 495-6300
Fax: (561) 495-8877
Type: Location
280 Dundas Dr
Jacksonville, FL 322185517
Phone: (904) 751-4906
Type: Location
8262 Point Meadows Dr Ste 202
Jacksonville, FL 322564700
Phone: (904) 265-4310
Type: Location
1564 Kingsley Ave Ste 300
Orange Park, FL 320734521
Phone: (904) 264-8801
Type: Location
410, Lippincott Drive, Marlton, Evesham Township, Burlington County, New Jersey, 08053, United States
MARLTON, NJ 080534197
Phone: (856) 355-0340
Fax: (856) 355-0330
Type: Mailing
2700 RIVERSIDE AVE SUITE 2
JACKSONVILLE, FL 322058194
Phone: (904) 265-7020
Fax: (833) 578-1806
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 137 Open Payments records for all available years, with a total value of $25,840.
Total Amount is formed as General ($25,840) + Research ($0) + Ownership ($0) = $25,840.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Vertos Medical, Inc. ($15,296).
Total Amount
$25,840
General + Research + Ownership
Payments
137
Total payment records
General Amount
$25,840
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vertos Medical, Inc. | $15,296 |
| Spinal Simplicity, LLC | $4,926 |
| Nutech Spine, Inc. | $2,500 |
| Boston Scientific Corporation | $1,493 |
| Medtronic, Inc. | $631 |
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: 2020-01-17
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 |
|---|---|---|---|---|
| I20200117000238 | I | Pain Management | 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 | 1,066 | 477 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 958 | 108 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 306 | 201 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 206 | 182 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 140 | 15 | $0 |
Insurance plans in this area (ZIP 32250)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Family Practice | FL | |
| A N E S T H E S I O L O G Y | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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