DEKEA LITZENDORF (PA) – Surgical Physician Assistant, NPI 1942480728
Surgical Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for DEKEA LITZENDORF (PA)
1600 SW Archer Rd
Gainesville, FL 326103003
Phone: (352) 265-0535
Type: Location
1880 Amherst Street
Suite 310
Winchester, VA 22601
Phone: (540) 536-6721
Fax: (540) 536-6724
Type: Location
1840 Amherst St
Winchester, VA 226012808
Phone: (540) 536-8000
Fax: (540) 536-7780
Type: Location
Johns Hopkins Hospital, 1800, Orleans Street, Butchers Hill, Baltimore, Maryland, 21287, United States
BALTIMORE, MD 212870010
Phone: (410) 955-2800
Type: Mailing
PO BOX 100286
GAINESVILLE, FL 326100286
Phone: (352) 265-0535
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $170.
Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABIOMED ($86).
Total Amount
$170
General + Research + Ownership
Payments
5
Total payment records
General Amount
$170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $86 |
| ATRICURE, INC. | $84 |
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: 2019-01-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050818000688 | I | Physician Assistant | VA | TBD |
| I20150210000077 | I | Physician Assistant | MD | TBD |
| I20190108003534 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32610)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MD | 33518 | Combined multiple vein and artery heart artery bypasses | 25 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MD | |
| Physician Assistant | MD | |
| Vascular Surgery, General Surgery | MD | |
| - | MD | |
| - | MD | |
| - | ME | |
| Internal Medicine | ME | |
| Endocrinology, Internal Medicine | ME | |
| - | ME | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MD |
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