DR. ATILANO GAPUZ LACSON (M.D.) – Clinical Pathology Physician, NPI 1811947757
Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
960 PATHOLOGY in FL
Provider Addresses for DR. ATILANO GAPUZ LACSON (M.D.)
680 CENTRE ST
BROCKTON, MA 023023308
Phone: (508) 941-7000
Fax: (508) 941-6000
Type: Mailing
801 6th St S
Dept 7010
St Petersburg, FL 337014816
Phone: (727) 767-4341
Fax: (727) 767-8516
Type: Location
160 E ERIE AVE
PHILADELPHIA, PA 191341011
Phone: (215) 427-5271
Type: Location
Roser Park School, 801, 6th Street South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States
DEPT 7010
ST PETERSBURG, FL 337014816
Phone: (727) 767-4341
Fax: (727) 767-8516
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-12-18
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 |
|---|---|---|---|---|
| I20231219000131 | I | Pathology | FL | TBD |
| I20250224000512 | I | Pathology | PA | TBD |
| I20251218001865 | I | Pathology | TX | 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 02302)
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