DR. ANDREA SLIFER LODER (M.D.) – Pediatrics Physician, NPI 1861477903
Pediatrics Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ANDREA SLIFER LODER (M.D.)
1005 Mar Walt Dr
Pediatric Department
Fort Walton Beach, FL 325476707
Phone: (850) 863-8203
Fax: (850) 862-0977
Type: Location
1005, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States
PEDIATRIC DEPARTMENT
FORT WALTON BEACH, FL 325476707
Phone: (850) 863-8203
Fax: (850) 862-0977
Type: Mailing
965 S BAILEY AVE STE 2-4
SOUTH HAVEN, MI 490906743
Phone: (269) 639-2777
Fax: (269) 639-2776
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $436.
Total Amount is formed as General ($436) + Research ($0) + Ownership ($0) = $436.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($73).
Total Amount
$436
General + Research + Ownership
Payments
21
Total payment records
General Amount
$436
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-01-09
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 |
|---|---|---|---|---|
| I20190109002778 | I | Pediatric Medicine | MI | 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 32547)
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