DR. MICHAEL PENNACHIO (M.D.) – Ophthalmology Physician, NPI 1750312005

DR. MICHAEL PENNACHIO (M.D.) is a healthcare provider. based in Eustis, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. ME0045426 (FL). The NPI Number for DR. MICHAEL PENNACHIO (M.D.) is 1750312005

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL PENNACHIO (M.D.)
NPI
1750312005
Phone
(352) 728-1717
Address
1100 S GROVE ST
Enumeration Date
5 July 2006
Last Update Date
3 March 2008

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3867342931
Graduation Year
1981 (45 years ago)
PAC ID
8921112673
Group Practice PAC ID
8820184831
Professional Enrollment ID
I20110221000656
Address ID
FL327207786DE1592XSRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

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Provider Addresses for DR. MICHAEL PENNACHIO (M.D.)

  • Grove Street, Eustis, Lake County, Florida, 32627, United States

    EUSTIS, FL 327265524

    Phone: (352) 728-1717

    Fax: (352) 728-8467

    Type: Mailing

  • 640, South Lake Street, Leesburg, Lake County, Florida, 34748, United States

    LEESBURG, FL 347485927

    Phone: (352) 728-1717

    Fax: (352) 728-8467

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-02-21

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
I20110221000656IOphthalmologyFLTBD

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
92014Established patient complete exam of visual system1,5861,555$0
92012Established patient problem focused exam of visual system1,337810$0
92133Imaging of optic nerve520512$0
92083Exam of visual field with extended testing361355$0
92004New patient complete exam of visual system345345$0
View full utilization report →

Insurance plans in this area (ZIP 32726)

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Provider's Procedures

DR. MICHAEL PENNACHIO (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYFL92012Eye and medical examination for diagnosis and treatment, established patient632515

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: 8820184831View full group profile
NameSpecialtyState
-FL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
Emergency MedicineVA
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P T O M E T R YFL
-FL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

How is DR. MICHAEL PENNACHIO (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MICHAEL PENNACHIO (M.D.) with NPI 1750312005.
Can I rely on DR. MICHAEL PENNACHIO (M.D.) being an active provider?
As of the registry snapshot, DR. MICHAEL PENNACHIO (M.D.) is marked active.
What is DR. MICHAEL PENNACHIO (M.D.)'s specialty?
The listing groups DR. MICHAEL PENNACHIO (M.D.) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MICHAEL PENNACHIO (M.D.)?
DR. MICHAEL PENNACHIO (M.D.)'s geographic hint is Eustis, Florida in our summary view.
Is the information about DR. MICHAEL PENNACHIO (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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