MR. LUIS CAMACHO (P.A.) – Surgical Physician Assistant, NPI 1659423358
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MR. LUIS CAMACHO (P.A.)
6811 PALISADES PARK CT STE 1
FORT MYERS, FL 339127130
Phone: (239) 533-5177
Type: Location
1300 Goodlette Rd
Naples, FL 341025243
Phone: (239) 732-0044
Type: Location
8625 COLLIER BLVD
NAPLES, FL 341143550
Phone: (239) 732-0044
Fax: (239) 732-0094
Type: Location
County Road, Rumford Mill, Rumford, Oxford County, Maine, 04257, United States
OXFORD, FL 344842951
Phone: (352) 205-8981
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $648.
Total Amount is formed as General ($648) + Research ($0) + Ownership ($0) = $648.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Organogenesis Inc. ($255).
Total Amount
$648
General + Research + Ownership
Payments
20
Total payment records
General Amount
$648
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $255 |
| Galderma Laboratories, L.P. | $150 |
| ABBVIE INC. | $54 |
| GlaxoSmithKline, LLC. | $41 |
| Lilly USA, LLC | $34 |
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: 2005-08-12
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 |
|---|---|---|---|---|
| I20050812000123 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 16 | 15 | $0 |
Insurance plans in this area (ZIP 33912)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | MA | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | FL |
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