MRS. KIMBERLY LYNN MENDOZA (PA-C) – Physician Assistant, NPI 1174649933
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for MRS. KIMBERLY LYNN MENDOZA (PA-C)
19465 DEERFIELD AVE STE 405
LEESBURG, VA 201761707
Phone: (703) 858-1800
Fax: (703) 858-1801
Type: Mailing
2011 HARRISON AVE
PANAMA CITY, FL 324054545
Phone: (850) 691-4188
Fax: (833) 687-1451
Type: Location
50 GOSSAMER LN UNIT 7
INLET BEACH, FL 324617051
Phone: (703) 964-7838
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $215.
Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($113).
Total Amount
$215
General + Research + Ownership
Payments
8
Total payment records
General Amount
$215
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $113 |
| Nevro Corp. | $61 |
| Spinal Simplicity, LLC | $21 |
| Bioventus LLC | $20 |
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: 2022-10-27
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 |
|---|---|---|---|---|
| I20221027001054 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 614 | 73 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 136 | 136 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 76 | 69 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 62 | 61 | $0 |
| 73564 | X-ray of knee, 4 or more views | 52 | 48 | $0 |
Insurance plans in this area (ZIP 20176)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physical Therapist In Private Practice | NY | |
| Orthopedic Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Occupational Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL | |
| Nurse Practitioner | FL | |
| Physical Therapist In Private Practice | FL |
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