JOHN UPEGUI (P.A.) – Physician Assistant, NPI 1811272990

JOHN UPEGUI (P.A.) is a healthcare provider. based in Lake worth, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 9106014 (FL). The NPI Number for JOHN UPEGUI (P.A.) is 1811272990

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JOHN UPEGUI (P.A.)
NPI
1811272990
Phone
(561) 296-2220
Address
3618 LANTANA ROAD
Enumeration Date
20 October 2011
Last Update Date
3 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2075322900
Graduation Year
2009 (17 years ago)
PAC ID
3072987643
Group Practice PAC ID
0042127946
Professional Enrollment ID
I20230322000399
Address ID
ME047301891HO20XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for JOHN UPEGUI (P.A.)

  • 3618 LANTANA ROAD

    SUITE 201

    LAKE WORTH, FL 33462

    Phone: (561) 296-2220

    Fax: (561) 296-2221

    Type: Mailing

  • 22 HARTFORD ST STE 1

    HOULTON, ME 047301844

    Phone: (207) 532-4068

    Fax: (207) 532-9426

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $344.

Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($66).

Total Amount

$344

General + Research + Ownership

Payments

19

Total payment records

General Amount

$344

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

View all Open Payments →|Open Payments Risk Radar →

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: 2023-03-22

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
I20230322000399IPhysician AssistantMETBD

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 33462)

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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: 0042127946View full group profile
NameSpecialtyState
Pain Management, Physical Medicine And Rehabilitation, Emergency MedicineME
Nurse PractitionerME
Diagnostic RadiologyMD
Internal MedicineME
Nurse PractitionerME
Interventional Radiology, Nuclear Medicine, Diagnostic RadiologyKS
Diagnostic RadiologyNH
Diagnostic RadiologyMN
-ME
O B S T E T R I C S/ G Y N E C O L O G YME

Reviews

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Frequently asked questions

How do I look up JOHN UPEGUI (P.A.) by NPI?
Use NPI 1811272990 when you need to reference JOHN UPEGUI (P.A.) in forms, claims, or directories.
Is JOHN UPEGUI (P.A.) currently active in the NPI registry?
CMS-published data lists JOHN UPEGUI (P.A.) as an active registrant.
Does JOHN UPEGUI (P.A.) list a primary specialty?
If you are matching referrals, note Physician Assistant for JOHN UPEGUI (P.A.). Clinical services aligned with this taxonomy classification.
What location metadata exists for JOHN UPEGUI (P.A.)?
The page summarizes Lake Worth, Florida for JOHN UPEGUI (P.A.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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