RACINE ANESTHESIA SERVICES, LLC – Anesthesiology Physician, NPI 1467782748
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RACINE ANESTHESIA SERVICES, LLC
7111 FAIRWAY DR STE 202
PALM BEACH GARDENS, FL 334184205
Phone: (865) 985-7062
Type: Mailing
7111, Fairway Drive, PGA National, Palm Beach Gardens, Palm Beach County, Florida, 33418, United States
SUITE 202
PALM BEACH GARDENS, FL 334184204
Phone: (561) 289-5010
Type: Mailing
Ascension All Saints Hospital Spring Street Campus, 3801, Spring Street, Mount Pleasant, Racine County, Wisconsin, 53132, United States
RACINE, WI 534051667
Phone: (412) 937-5000
Type: Location
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: 2010-03-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (710 days ago).
Enrollment records
1
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20100316000106 | O | Clinic/Group Practice | WI | 2024-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 33418)
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