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LARRY LEYDERMAN PA-C
NPI 1609143270
Physician Assistant - Surgical in Dade City, FL

Active since November 25, 2011PECOS EnrolledAccepts Medicare Assignment
80.11/100
CMS Quality Rating
13933 17TH ST STE 200, DADE CITY, FL 33525(352) 437-5972(352) 437-5974 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2025, Sep 18, 2022, Jul 8, 2022 (3 updates tracked since 2022).

About Larry Leyderman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY LEYDERMAN PA-C (NPI 1609143270) is an individual surgical provider in Dade City, Florida, licensed in Florida (PA9114483) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Zephyrhills, and maintains a secondary practice location in Lakeland.

NPPES Registry Identity

NPI1609143270
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameLARRY LEYDERMANCredential: PA-C
Location Address13933 17TH ST STE 200Dade City, FL 33525-4604
Mailing Address1324 Lakeland Hills Blvd, Attn: Managed Care DeptLakeland, FL 33805-4543 · (863) 687-1100 · Fax (863) 630-6528
Phone(352) 437-5972
Fax(352) 437-5974
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 25, 2011
Last NPPES UpdateDecember 1, 20253 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1609143270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in FL · PA9114483✔ Licensed in IL · 085004191
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9114483 (FL)
13933 17TH ST STE 200, Dade City, FL 33525
Open in Google Maps ↗

Secondary Practice Location 1

Location 11324 Lakeland Hills BlvdLakeland, FL 33805-4543 · Phone (863) 687-1321 · Fax (863) 284-1730

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Larry Leyderman Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810157849
PECOS Enrollment IDI20220406001327
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Florida Hospital Zephyrhills

Acute Care Hospitals · Zephyrhills, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100046
Location7050 Gall BlvdZephyrhills, FL 33541 · Pasco County
Emergency services Birthing friendly

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.29
Promoting Interoperability97
Improvement Activities40
Cost64.85

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD SCOTT CHAMBERLAIN M.D.
Surgery
13933 17TH ST STE 200
DADE CITY, FL 33525
Pasco County (352) 437-5972
DR. SAFI UDDIN AHMED MD
Internal Medicine (Clinical Cardiac Electrophysiology)
13933 17TH ST STE 200
DADE CITY, FL 33525
Pasco County (352) 437-5972
SUDHIR KALASKAR M.D.
Surgery
13933 17TH ST STE 200
DADE CITY, FL 33525
Pasco County (352) 437-5971
STEPHEN A JONES M.D.
Surgery
13933 17TH ST STE 200
DADE CITY, FL 33525
Pasco County (352) 437-5972
ZIAD ALNABKI M.D.
Internal Medicine (Interventional Cardiology)
13933 17TH ST STE 200
DADE CITY, FL 33525
Pasco County (352) 437-5972
KATHERINE CARSON MD
Surgery
13933 17TH ST STE 200
DADE CITY, FL 33525
Pasco County (352) 437-5972
DR. NAGA UK THATIMATLA MD
Surgery
13933 17TH ST STE 200
DADE CITY, FL 33525
Pasco County (352) 437-5971

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Leyderman's NPI number?

The NPI number for Larry Leyderman is 1609143270. It was assigned to this individual provider in the NPPES registry on November 25, 2011.

Where is Larry Leyderman located?

Larry Leyderman practices at 13933 17th St Ste 200, Dade City, FL 33525. The listed phone number is (352) 437-5972.

What is Larry Leyderman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Larry Leyderman enrolled in Medicare?

Yes. Larry Leyderman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Larry Leyderman accept?

Health plans from AvMed list Larry Leyderman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Larry Leyderman affiliated with any hospitals?

According to CMS data, Larry Leyderman is affiliated with Florida Hospital Zephyrhills and Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Larry Leyderman was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.