THERESA A DAVILA (PA-C) – Physician Assistant, NPI 1720211451
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for THERESA A DAVILA (PA-C)
3120 Waterman Way
Tavares, FL 327785252
Phone: (352) 343-1216
Fax: (352) 343-1582
Type: Location
246 PLEASANT STREET MEMORIAL BUILDING, WEST, GROUND FLO
CONCORD, NH 03301
Phone: (603) 224-1725
Fax: (603) 227-7557
Type: Mailing
12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL 604631290
Phone: (708) 923-4200
Fax: (708) 923-4201
Type: Mailing
1506 SPRING ST
GREENWOOD, SC 296464071
Phone: (864) 725-7900
Fax: (864) 725-7910
Type: Location
12251 S 80th Ave Ste 1520
Palos Heights, IL 604631290
Phone: (708) 923-4200
Fax: (708) 923-4201
Type: Location
Waterman Way, Tavares, Lake County, Florida, 32278, United States
TAVARES, FL 327785252
Phone: (352) 343-1216
Fax: (352) 343-1582
Type: Location
PO BOX 505315
ST. LOUIS, MO 631505313
Phone: (314) 577-8983
Fax: (314) 577-8161
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $439.
Total Amount is formed as General ($439) + Research ($0) + Ownership ($0) = $439.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABIOMED ($207).
Total Amount
$439
General + Research + Ownership
Payments
10
Total payment records
General Amount
$439
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $207 |
| W. L. Gore & Associates, Inc. | $99 |
| Inari Medical, Inc. | $75 |
| Boston Scientific Corporation | $37 |
| Smith+Nephew, Inc. | $21 |
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: 2025-07-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190226001838 | I | Physician Assistant | FL | TBD |
| I20230601002666 | I | Physician Assistant | SC | TBD |
| I20250708001169 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 33533 | Coronary artery bypass using artery graft, 1 graft | 13 | 13 | $0 |
Insurance plans in this area (ZIP 32778)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NC | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| - | MA | |
| Diagnostic Radiology | TX | |
| Mental Health Counselor | SC | |
| Physician Assistant | SC | |
| Nurse Practitioner | SC | |
| Nurse Practitioner | SC | |
| - | SC |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.