AMY RUTHERFORD (PA-C) – Medical Physician Assistant, NPI 1902281389
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for AMY RUTHERFORD (PA-C)
408 PALMETTO ST
NEW SMYRNA BEACH, FL 321687323
Phone: (866) 400-3376
Fax: (386) 490-8501
Type: Location
303 N CLYDE MORRIS BLVD # 10E
PBFS DEPARTMENT
DAYTONA BEACH, FL 321142709
Phone: (386) 226-4590
Fax: (386) 226-3371
Type: Mailing
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 321142709
Phone: (386) 425-2285
Fax: (386) 425-7522
Type: Location
151 SOUTHHALL LN STE 300
MAITLAND, FL 327517172
Phone: (866) 400-3376
Fax: (407) 650-3455
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $1,194.
Total Amount is formed as General ($1,194) + Research ($0) + Ownership ($0) = $1,194.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($524).
Total Amount
$1,194
General + Research + Ownership
Payments
59
Total payment records
General Amount
$1,194
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
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $524 |
| Janssen Biotech, Inc. | $162 |
| PFIZER INC. | $131 |
| ABBVIE INC. | $118 |
| GENZYME CORPORATION | $53 |
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: 2015-10-20
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 |
|---|---|---|---|---|
| I20151020000017 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 901 | 157 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 370 | 285 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 289 | 221 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 235 | 204 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 223 | 177 | $0 |
Insurance plans in this area (ZIP 32168)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL |
Reviews
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