VIVID PATHOLOGY PA – Anatomic Pathology & Clinical Pathology Physician, NPI 1447227590
Anatomic Pathology & Clinical Pathology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for VIVID PATHOLOGY PA
5700 SOUTHWYCK BLVD
TOLEDO, OH 436141509
Phone: (800) 288-8325
Fax: (419) 866-5453
Type: Mailing
4900 BAYOU BLVD STE 204
PENSACOLA, FL 325032533
Phone: (850) 867-8177
Fax: (850) 876-6727
Type: Location
122, North 9th Avenue, Aragon, Pensacola, Escambia County, Florida, 32502, United States
PENSACOLA, FL 325048779
Phone: (850) 416-2469
Fax: (843) 664-4308
Type: Mailing
5149, North 9th Avenue, Cordova Mall, Pensacola, Escambia County, Florida, 32504, United States
SUITE 122
PENSACOLA, FL 325048756
Phone: (850) 416-7250
Fax: (850) 416-6475
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: 2004-11-16
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 |
|---|---|---|---|---|
| O20041116001055 | 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 | 13,660 | 6,399 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 2,597 | 1,874 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 1,490 | 686 | $0 |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | 715 | 715 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 514 | 450 | $0 |
Insurance plans in this area (ZIP 43614)
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