MR. IVAN PATINO (PA-C) – Medical Physician Assistant, NPI 1861560427
Medical Physician Assistant
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. IVAN PATINO (PA-C)
PO BOX 198054
ATLANTA, GA 303841980
Phone: (786) 594-6880
Type: Mailing
8900 N KENDALL DR
MIAMI, FL 331762118
Phone: (786) 596-6743
Type: Location
20803 Biscayne Blvd Ste 202
Aventura, FL 331801429
Phone: (305) 931-9002
Fax: (305) 692-9176
Type: Location
Aventura Boulevard, Aventura, Miami-Dade County, Florida, 33180, United States
#240
AVENTURA, FL 331803118
Phone: (305) 931-9002
Fax: (305) 692-9176
Type: Location
12300, Southwest 123rd Passage, Miami, Miami-Dade County, Florida, 33186, United States
MIAMI, FL 33186
Phone: (305) 256-3510
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $344.
Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Novo Nordisk Inc ($158).
Total Amount
$344
General + Research + Ownership
Payments
12
Total payment records
General Amount
$344
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $158 |
| Janssen Pharmaceuticals, Inc | $58 |
| Baxter Healthcare | $25 |
| Exact Sciences Corporation | $25 |
| Astellas Pharma US Inc | $22 |
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: 2004-09-15
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 |
|---|---|---|---|---|
| I20040915000846 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 14 | $0 |
Insurance plans in this area (ZIP 30384)
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