Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538057153 Individual Practitioner Male Practitioner

Jack Koburger , PA-C

Physician Assistant • Cape Coral, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jack Koburger, PA-C is a certified Physician Assistant practicing in Cape Coral, FL. With approximately 1 years of clinical experience since completing medical education in 2025, Jack Koburger delivers high-quality medical care to the local community at 636 DEL PRADO BLVD S.

Jack Koburger is affiliated with Cape Coral Emergency Physicians Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

636 Del Prado Blvd S

Cape Coral, FL 339902668

Telephone 2394243513
Associated Practice Facility / Clinic
🏢 Lmr Imaging Facility NPI 1598758674

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cape Coral, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -10.9 yrs vs City Avg
City Avg: 11.9 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
75 Specialists

Practicing in Cape Coral, FL (10376 Statewide)

Telehealth Adoption Rate
12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koburger (1 Years) 1 Yrs
Cape Coral Specialty Average (11.9 Years) 11.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9120347

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Cape Coral Emergency Physicians Llc

636 Del Prado Blvd S, Cape Coral, FL 339902668

Phone: 2394242000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Kristen Nearing , PA

Physician Assistant

NPI 1033996855

Physician Assistant

Connor Montgomery

Emergency Medicine

NPI 1093392839
Dr. Tyler Ensley , DO

Emergency Medicine

NPI 1124223581

Doctor of Osteopathic Medicine (D.O.)

Dr. Kurt Mueller , DO

Emergency Medicine

NPI 1265473557

Doctor of Osteopathic Medicine (D.O.)

NPI 1396323770

Doctor of Medicine (M.D.)

Dr. Usman Mian , MD

Emergency Medicine

NPI 1558758912

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 24, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2025

Registered at 636 DEL PRADO BLVD S, CAPE CORAL, FL 339902668 (Tel: 2394243513)

📍
Updated Business Mailing Address June 24, 2025

Registered at 6796 SMOKERISE DR, MACCLENNY, FL 320635256 (Tel: 9043122297)

👤
Provider Name / Credentials Updated June 24, 2025

Recorded as JACK KOBURGER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2025

Physician Assistant (License #PA9120347 in FL)

🟢
Initial NPI Registration & Enumeration June 24, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jack Koburger. Be the first to share your experience!

Sign in to leave a review for Jack Koburger

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1538057153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2025
Last Update: June 24, 2025
Sole Proprietor: No

Mailing Address

6796 Smokerise Dr

Macclenny, FL 320635256

Phone: 9043122297

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.