PETER SETH EDELSTEIN (MD) – Surgery Physician, NPI 1912426115
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,163 GENERAL SURGERY in FL
Provider Addresses for PETER SETH EDELSTEIN (MD)
1718 LEXINGTON GREEN LN
SANFORD, FL 327711018
Phone: (352) 459-2552
Type: Location
1718 Lexington Green Ln
Sanford, FL 327711018
Phone: (352) 459-2552
Type: Location
1347 ELYSIUM BLVD
MOUNT DORA, FL 327577027
Phone: (352) 459-2552
Type: Mailing
305 N MANGOUSTINE AVE STE 100
SANFORD, FL 327711004
Phone: (321) 283-2100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-10-24 • Largest payer in this snapshot: Boston Scientific Corporation ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $16 |
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: 2025-08-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20231106002431 | I | General Surgery | MT | TBD |
| I20250313003584 | I | General Surgery | CO | TBD |
| I20250528000703 | I | General Surgery | IN | TBD |
| I20250819003190 | I | General Surgery | NC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32771)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| - | NC | |
| - | NC | |
| Certified Nurse Midwife (Cnm) | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| Pulmonary Disease | NY | |
| Nurse Practitioner | NC | |
| Physician Assistant | NC |
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