AGNES V NALL (M.D.) – Otolaryngology Physician, NPI 1780683441
Otolaryngology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
732 OTOLARYNGOLOGY in FL
Provider Addresses for AGNES V NALL (M.D.)
772 Cortaro Dr
Ruskin, FL 335736811
Phone: (941) 748-2455
Fax: (941) 746-4554
Type: Location
Request Physical Therapy, inc, 701, Manatee Avenue West, Bradenton, Manatee County, Florida, 34205, United States
SUITE 202
BRADENTON, FL 342058604
Phone: (941) 748-2455
Fax: (941) 746-4554
Type: Mailing
8340 Lakewood Ranch Blvd Ste 180
Lakewood Ranch, FL 342025185
Phone: (941) 748-2455
Fax: (941) 746-4554
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $298.
Total Amount is formed as General ($298) + Research ($0) + Ownership ($0) = $298.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AERIN MEDICAL INC. ($90).
Total Amount
$298
General + Research + Ownership
Payments
12
Total payment records
General Amount
$298
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-09-15
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 |
|---|---|---|---|---|
| I20100915001050 | I | Otolaryngology | 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 | 585 | 421 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 410 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 372 | 287 | $0 |
| 69210 | Removal of impacted ear wax | 309 | 260 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 265 | 253 | $0 |
Insurance plans in this area (ZIP 33573)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | CT | |
| Physician Assistant | TN | |
| - | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| Nurse Practitioner | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| Family Practice | MI |
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