MS. AMY M GOETZ (PA-C) – Surgical Physician Assistant, NPI 1962598367
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MS. AMY M GOETZ (PA-C)
8550 NE 138TH LN STE 102
LADY LAKE, FL 321596816
Phone: (352) 325-5555
Fax: (346) 202-0106
Type: Mailing
836, CR 466, Lady Lake, Lake County, Florida, 32159, United States
LADY LAKE, FL 32159
Phone: (855) 353-7546
Fax: (352) 775-4413
Type: Location
17521 US Highway 441 Ste 21
Mount Dora, FL 327576737
Phone: (813) 321-1786
Fax: (813) 321-1787
Type: Location
16461 DOMESTIC AVENUE
FORT MYERS, FL 339124505
Phone: (772) 667-7688
Fax: (603) 952-3900
Type: Mailing
1450, 6th Street Southeast, Winter Haven, Polk County, Florida, 33880, United States
WINTER HAVEN, FL 338804505
Phone: (863) 293-2147
Fax: (863) 294-2767
Type: Mailing
18228 N US HIGHWAY 41
LUTZ, FL 335494400
Phone: (813) 321-1786
Fax: (813) 321-1787
Type: Mailing
1950 LAUREL MANOR DR STE 124
THE VILLAGES, FL 321625602
Phone: (813) 321-1786
Fax: (813) 321-1787
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $438.
Total Amount is formed as General ($438) + Research ($0) + Ownership ($0) = $438.
Last reported payment date: 2024-02-20 • Largest payer in this snapshot: Axonics, Inc. ($375).
Total Amount
$438
General + Research + Ownership
Payments
10
Total payment records
General Amount
$438
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $375 |
| Teleflex LLC | $43 |
| Kowa Pharmaceuticals America, Inc. | $19 |
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: 2016-03-15
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 |
|---|---|---|---|---|
| I20160315002703 | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 197 | 197 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 136 | 129 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 131 | 42 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 128 | 127 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 96 | 91 | $0 |
Insurance plans in this area (ZIP 32159)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 62 | 41 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Nurse Practitioner | FL | |
| - | TX | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| D E R M A T O L O G Y | FL |
Reviews
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