MID-FLORIDA PATHOLOGY LLC – Anatomic Pathology & Clinical Pathology Physician, NPI 1265798870
Anatomic Pathology & Clinical Pathology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MID-FLORIDA PATHOLOGY LLC
120 E North Blvd Ste 102
Leesburg, FL 347485241
Phone: (352) 460-0292
Fax: (352) 460-0785
Type: Location
125 SW 7th St
Williston, FL 326962403
Phone: (352) 308-8903
Fax: (352) 460-0785
Type: Location
9350 BAY PLAZA BLVD STE 120-26, 27
Tampa, FL 33619
Phone: (352) 308-8903
Fax: (352) 460-0785
Type: Location
PO BOX 490940
LEESBURG, FL 347490940
Phone: (352) 460-0292
Fax: (352) 460-0785
Type: Mailing
2100 PREVATT ST
EUSTIS, FL 327266130
Phone: (352) 305-8903
Fax: (352) 460-0785
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2012-06-26
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| O20120626000588 | O | Independent Clinical Laboratory | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 19,107 | 7,614 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 3,696 | 2,172 | $0 |
| 88332 | Pathology examination of specimen during surgery, each additional tissue block | 3,486 | 656 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 2,769 | 1,452 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 2,678 | 1,533 | $0 |
Insurance plans in this area (ZIP 34748)
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