MR. MATELAND LESTERY III KEITH (PMHNP-ABC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1457964843
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for MR. MATELAND LESTERY III KEITH (PMHNP-ABC)
8309 DENVER DR
AVON, IN 461230123
Phone: (317) 514-9139
Type: Mailing
421 COMMERCIAL CT STE B
VENICE, FL 342921656
Phone: (941) 244-4377
Fax: (941) 445-4186
Type: Mailing
1990 MAIN ST STE 750
SARASOTA, FL 342368000
Phone: (941) 367-2356
Fax: (941) 200-4201
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 96 Open Payments records for all available years, with a total value of $2,146.
Total Amount is formed as General ($2,146) + Research ($0) + Ownership ($0) = $2,146.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($390).
Total Amount
$2,146
General + Research + Ownership
Payments
96
Total payment records
General Amount
$2,146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $390 |
| Lundbeck LLC | $337 |
| Otsuka America Pharmaceutical, Inc. | $258 |
| Janssen Pharmaceuticals, Inc | $244 |
| Tempus AI, Inc | $210 |
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: 2021-11-02
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 |
|---|---|---|---|---|
| I20211102002403 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 348 | 96 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 305 | 89 | $0 |
| 90837 | Psychotherapy, 1 hour | 101 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 46123)
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