MARK W. LASTARZA (M.D.) – Internal Medicine Physician, NPI 1831165448
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
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Provider Addresses for MARK W. LASTARZA (M.D.)
335, Clyde Morris Boulevard, Ormond Beach, Volusia County, Florida, 32174, United States
SUITE 290
ORMOND BEACH, FL 321745959
Phone: (386) 672-3219
Fax: (386) 672-3160
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)
CMS reports 48 Open Payments records for all available years, with a total value of $921.
Total Amount is formed as General ($921) + Research ($0) + Ownership ($0) = $921.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Novo Nordisk Inc ($199).
Total Amount
$921
General + Research + Ownership
Payments
48
Total payment records
General Amount
$921
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $199 |
| GlaxoSmithKline, LLC. | $145 |
| Astellas Pharma US Inc | $79 |
| Amgen Inc. | $77 |
| Bayer Healthcare Pharmaceuticals Inc. | $58 |
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: 2005-10-26
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 |
|---|---|---|---|---|
| I20051026000449 | I | Internal Medicine | 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 | 1,807 | 806 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 631 | 631 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 627 | 627 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 612 | 612 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 99 | 13 | $0 |
Insurance plans in this area (ZIP 32174)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Family Practice | FL | |
| Hand Surgery, Orthopedic Surgery | CA | |
| Occupational Therapist In Private Practice | GA | |
| - | FL | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Hand Surgery, Orthopedic Surgery, Hand Surgery | MA | |
| Physician Assistant | FL |
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