MR. KURT T. WOOD (PA-C) – Physician Assistant, NPI 1780683359

MR. KURT T. WOOD (PA-C) is a healthcare provider. based in Deland, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA3194 (FL). The NPI Number for MR. KURT T. WOOD (PA-C) is 1780683359

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. KURT T. WOOD (PA-C)
NPI
1780683359
Phone
(386) 734-9122
Address
740 W PLYMOUTH AVE
Enumeration Date
18 July 2005
Last Update Date
3 March 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3217577222
Graduation Year
1996 (30 years ago)
PAC ID
6103906565
Group Practice PAC ID
1052418837
Professional Enrollment ID
I20080110000423
Address ID
FL329274305PO5005XPKWY500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MR. KURT T. WOOD (PA-C)

  • 740, West Plymouth Avenue, DeLand, Volusia County, Florida, 32720, United States

    DELAND, FL 327203282

    Phone: (386) 734-9122

    Fax: (386) 736-4348

    Mailing address matches the actual address.

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: 2008-01-10

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
I20080110000423IPhysician AssistantFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32720)

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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: 1052418837View full group profile
NameSpecialtyState
Physician AssistantFL
-WA
Nurse PractitionerFL
Nurse PractitionerPA
Nurse PractitionerFL
-IN
Family PracticeFL
Family PracticeFL
Nurse PractitionerFL
Family Practice, Sports MedicineFL

Reviews

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Frequently asked questions

How is MR. KURT T. WOOD (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MR. KURT T. WOOD (PA-C) with NPI 1780683359.
Is MR. KURT T. WOOD (PA-C) listed as active for patients and plans?
The listing shows MR. KURT T. WOOD (PA-C) as active in the NPI system.
What is MR. KURT T. WOOD (PA-C)'s primary classification?
Physician Assistant is the headline specialty for MR. KURT T. WOOD (PA-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for MR. KURT T. WOOD (PA-C)?
MR. KURT T. WOOD (PA-C)'s geographic hint is Deland, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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