BETHANY M EDOUARD (PA) – Physician Assistant, NPI 1881963106
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for BETHANY M EDOUARD (PA)
3434 HANCOCK BRIDGE PKWY
STE301
N FORT MYERS, FL 339037094
Phone: (877) 856-3774
Fax: (239) 599-2625
Type: Mailing
1708 CAPE CORAL PKWY W STE I
CAPE CORAL, FL 339146985
Phone: (239) 540-1495
Fax: (239) 549-1080
Type: Location
2675 WINKLER AVE FL 2
FORT MYERS, FL 339019342
Phone: (877) 856-3774
Type: Mailing
1708 CAPE CORAL PKWY W STE 6
CAPE CORAL, FL 339146985
Phone: (239) 540-1495
Fax: (239) 549-1080
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 182 Open Payments records for all available years, with a total value of $3,457.
Total Amount is formed as General ($3,457) + Research ($0) + Ownership ($0) = $3,457.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($491).
Total Amount
$3,457
General + Research + Ownership
Payments
182
Total payment records
General Amount
$3,457
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $491 |
| Lilly USA, LLC | $337 |
| Novo Nordisk Inc | $281 |
| Amgen Inc. | $209 |
| Merck Sharp & Dohme LLC | $182 |
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: 2012-01-31
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 |
|---|---|---|---|---|
| I20120131000665 | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 408 | 259 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 384 | 254 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 361 | 248 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 353 | 248 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 347 | 220 | $0 |
Insurance plans in this area (ZIP 33903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Physician Assistant | ID | |
| Family Practice | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Family Practice | FL |
Reviews
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