MIKHAIL MIRER (M.D.) – Pediatric Neurodevelopmental Disabilities Physician, NPI 1790781946
Pediatric Neurodevelopmental Disabilities Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MIKHAIL MIRER (M.D.)
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 322163623
Phone: (904) 450-6063
Fax: (904) 539-4091
Type: Mailing
5151 N 9TH AVE
PENSACOLA, FL 325048721
Phone: (850) 416-1900
Type: Location
Hershey Medical Center, 500, University Drive, Hershey, Dauphin County, Pennsylvania, 17033, United States
HERSHEY, PA 170332360
Phone: (800) 243-1455
Type: Mailing
201, South Andrews Avenue, Fort Lauderdale, Broward County, Florida, 33301, United States
FT LAUDERDALE, FL 333161828
Phone: (800) 243-3839
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $1,354.
Total Amount is formed as General ($1,354) + Research ($0) + Ownership ($0) = $1,354.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: UCB, Inc. ($733).
Total Amount
$1,354
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,354
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $733 |
| JAZZ PHARMACEUTICALS INC. | $416 |
| Neurelis, Inc. | $162 |
| Marinus Pharmaceuticals, Inc. | $29 |
| GlaxoSmithKline, LLC. | $14 |
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: 2020-08-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20131127000369 | I | Pediatric Medicine | PA | TBD |
| I20200803003395 | I | Neurology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32216)
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Reviews
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