SHIRLEY J HOM (PA C) – Medical Physician Assistant, NPI 1972598860
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for SHIRLEY J HOM (PA C)
145 US HIGHWAY 46
SUITE 304
WAYNE, NJ 074706830
Phone: (973) 826-8287
Fax: (855) 834-5435
Type: Mailing
Edgewater Drive, College Park, Orlando, Orange County, Florida, 32804, United States
ORLANDO, FL 328042206
Phone: (407) 539-2000
Fax: (407) 398-0050
Type: Location
1400 S ORANGE AVE
ORLANDO, FL 328062134
Phone: (321) 843-8010
Fax: (321) 843-6330
Type: Mailing
PO BOX 4059
WAYNE, NJ 074744059
Phone: (973) 826-8291
Type: Mailing
4215 Edgewater Dr
Orlando, FL 328042206
Phone: (407) 539-2000
Fax: (407) 398-0050
Type: Location
601 E Rollins St
Orlando, FL 328031248
Phone: (407) 609-0095
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $1,099.
Total Amount is formed as General ($1,099) + Research ($0) + Ownership ($0) = $1,099.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($426).
Total Amount
$1,099
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,099
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $426 |
| Intuitive Surgical, Inc. | $415 |
| ConvaTec Inc. | $111 |
| Ethicon US, LLC | $95 |
| Guard Medical Inc. | $52 |
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: 2010-10-21
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 |
|---|---|---|---|---|
| I20101021000973 | 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 |
|---|---|---|---|---|
| 50545 | Removal of kidney and lymph nodes using an endoscope | 15 | 15 | $0 |
Insurance plans in this area (ZIP 07470)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Vascular Surgery, General Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| Sports Medicine | OH | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Internal Medicine | IA |
Reviews
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