LAWRENCE LINDSAY JR. PEDLEY (PA-C) – Physician Assistant, NPI 1801239223
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for LAWRENCE LINDSAY JR. PEDLEY (PA-C)
8 MIRROR LAKE DR
STE A
ORMOND BEACH, FL 321743102
Phone: (386) 673-2500
Fax: (386) 676-6349
Type: Mailing
200 E CHESTNUT ST
STE.303
LOUISVILLE, KY 402021831
Phone: (502) 629-5552
Fax: (502) 629-3132
Type: Location
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 321142733
Phone: (386) 238-3221
Fax: (386) 238-3235
Type: Location
PO BOX 9671
DAYTONA BEACH, FL 321209671
Phone: (386) 676-7130
Fax: (386) 676-7125
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Medtronic, Inc. ($18).
Total Amount
$46
General + Research + Ownership
Payments
3
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $18 |
| Exact Sciences Corporation | $15 |
| Amgen Inc. | $13 |
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: 2015-10-02
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 |
|---|---|---|---|---|
| I20151002000513 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 32174)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Family Practice, Emergency Medicine | FL | |
| Family Practice | FL | |
| Family Practice | LA | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Physician Assistant | TX | |
| Internal Medicine | FL |
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