Deactivated NPI 1083141899 Deactivated / Inactive NPI Male Practitioner

Dr. James Ebot , DO

Neurological Surgery • Jacksonville, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Ebot has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 11, 2017

NPI Deactivation Date May 28, 2026

Total Practice Duration ~9 Years of Practice (2017 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. James Ebot, DO was a registered Neurological Surgery practicing in Jacksonville, FL. Throughout an active medical career spanning 9 years, Dr. Ebot provided care at the practice location at 4500 SAN PABLO RD S until profile deactivation on 2026-05-28.

Historical Medicare Part B clinical services included subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, removal of muscle and/or tissue, 20.0 sq cm or less. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000

Associated Practice Facility / Clinic

🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Jacksonville, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.5 Yrs

State Avg: 24.5 Yrs

Regional Practice Density

78 Specialists

Practicing in Jacksonville, FL (675 Statewide)

Telehealth Adoption Rate

28.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,556	355	$174.94	$71.49
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	838	304	$252.10	$103.47
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	525	232	$174.94	$71.72
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	396	233	$94.54	$38.61
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	377	111	$574.74	$213.52
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	328	122	$574.74	$144.07
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	316	189	$252.10	$103.61
11042 Removal of skin and tissue, 20.0 sq cm or less	255	76	$336.90	$93.40
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	201	201	$308.50	$128.82
11042 Removal of skin and tissue, 20.0 sq cm or less	193	89	$336.90	$45.42
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	174	99	$357.52	$147.38
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	137	137	$308.50	$128.07
97597 Removal of tissue from wound, 20.0 sq cm or less	119	46	$264.42	$95.86
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	116	101	$94.54	$38.77
97610 Therapy procedure using ultrasound	99	35	$1196.36	$405.81
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	60	44	$357.52	$147.31
11044 Removal of bone, 20.0 sq cm or less	56	20	$750.90	$297.24
17250 Application of chemical to stop tissue regrowth in wound	52	23	$230.66	$70.14
11044 Removal of bone, 20.0 sq cm or less	47	21	$750.90	$216.05
99306 Initial nursing facility visit, typically 45 minutes per day	43	43	$419.38	$174.23
17250 Application of chemical to stop tissue regrowth in wound	34	14	$230.66	$31.03
99306 Initial nursing facility visit, typically 45 minutes per day	14	14	$419.38	$174.74
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	13	13	$185.40	$76.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,750	361	$176.97	$73.21
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	907	291	$253.46	$105.28
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	579	240	$176.94	$73.59
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	529	149	$581.96	$222.14
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	426	140	$581.89	$145.93
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	393	211	$253.38	$105.76
11042 Removal of skin and tissue, 20.0 sq cm or less	362	126	$340.35	$104.41
11042 Removal of skin and tissue, 20.0 sq cm or less	296	124	$340.36	$45.22
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	252	188	$94.67	$39.01
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	195	115	$362.79	$151.52
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	124	83	$362.74	$150.94
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	120	120	$313.36	$131.95
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	101	33	$178.44	$75.86
11044 Removal of bone, 20.0 sq cm or less	89	39	$765.54	$305.46
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	84	79	$94.69	$39.28
97597 Removal of tissue from wound, 20.0 sq cm or less	79	40	$244.00	$99.95
11044 Removal of bone, 20.0 sq cm or less	74	30	$764.78	$221.20
17250 Application of chemical to stop tissue regrowth in wound	72	24	$235.72	$78.46
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	71	71	$313.10	$130.81
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	69	69	$189.28	$79.75
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	59	28	$298.65	$126.76
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	50	50	$189.30	$79.36
99306 Initial nursing facility visit, typically 45 minutes per day	42	42	$427.37	$176.67
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	31	16	$180.75	$48.34
17250 Application of chemical to stop tissue regrowth in wound	28	12	$236.12	$27.60
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	22	20	$104.72	$44.63
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	13	13	$179.34	$77.09
99306 Initial nursing facility visit, typically 45 minutes per day	12	12	$427.62	$178.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,188	267	$164.76	$66.03
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	696	168	$600.90	$219.04
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	576	212	$215.06	$87.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	573	228	$164.76	$66.41
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	532	178	$600.90	$145.09
11042 Removal of skin and tissue, 20.0 sq cm or less	454	146	$339.66	$93.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	326	170	$215.06	$87.98
11042 Removal of skin and tissue, 20.0 sq cm or less	295	131	$339.66	$40.03
17250 Application of chemical to stop tissue regrowth in wound	192	43	$239.76	$62.80
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	191	154	$103.86	$42.08
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	169	73	$318.44	$128.53
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	168	62	$195.94	$80.71
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	137	137	$211.56	$86.10
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	132	43	$193.60	$53.12
11044 Removal of bone, 20.0 sq cm or less	114	34	$799.78	$304.36
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	112	104	$103.86	$42.23
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	90	27	$193.60	$71.15
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	90	60	$318.44	$130.11
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	82	51	$304.12	$124.50
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	79	79	$211.56	$85.92
17250 Application of chemical to stop tissue regrowth in wound	61	32	$239.76	$24.53
11044 Removal of bone, 20.0 sq cm or less	58	27	$799.78	$216.92
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	57	57	$304.74	$124.28
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	45	45	$177.84	$75.12
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	37	21	$106.70	$40.04
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	36	11	$106.70	$25.07
11047 Removal of bone, each additional 20.0 sq cm or less	27	11	$319.20	$93.10
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	27	27	$128.12	$53.63
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	25	22	$421.40	$171.88
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	24	24	$304.74	$123.93
99306 Initial nursing facility visit, typically 45 minutes per day	23	23	$392.04	$160.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	200	60	$600.90	$222.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	158	74	$164.76	$66.99
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	133	69	$215.06	$88.74
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	122	53	$600.90	$145.34
11042 Removal of skin and tissue, 20.0 sq cm or less	115	54	$339.66	$91.71
11042 Removal of skin and tissue, 20.0 sq cm or less	104	53	$339.66	$44.94
17250 Application of chemical to stop tissue regrowth in wound	80	20	$239.76	$54.61
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	66	33	$215.06	$89.06
11044 Removal of bone, 20.0 sq cm or less	33	13	$799.78	$306.73
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	27	22	$164.76	$67.03
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	26	15	$318.44	$132.08
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	25	25	$103.86	$42.80
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	24	11	$193.60	$71.70
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	20	20	$304.74	$126.97
17250 Application of chemical to stop tissue regrowth in wound	18	14	$239.76	$27.83
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	17	17	$211.56	$88.44
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	14	14	$304.74	$127.92
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	11	11	$211.56	$87.95

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License FL 5370

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

Dr. Ricardo Pagan , MD

Hospitalist

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

16 Historical Events

⚠️

NPI Profile Deactivated May 28, 2026

Record deactivated on May 28, 2026

📍

Updated Practice Location June 22, 2023

Registered at 17218 PRESTON RD STE 2000, DALLAS, TX 752524018 (Tel: 8778667123)

📍

Updated Business Mailing Address June 22, 2023

Registered at PO BOX 742712, ATLANTA, GA 303742712 (Tel: 8778667123)

📍

Updated Practice Location September 15, 2021

Registered at 1350 MAIN ST, FRISCO, TX 750334348 (Tel: 2147051908)

📍

Updated Business Mailing Address September 15, 2021

Registered at 4120 ALDENHAM DR, PLANO, TX 750247311

✅

NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 13, 2017

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍

Updated Business Mailing Address December 13, 2017

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865

👤

Provider Name / Credentials Updated December 13, 2017

Recorded as JAMES EBOT, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Neurological Surgery (License #UO5370 in FL)

✅

NPI Profile Active May 24, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2017

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍

Updated Business Mailing Address May 24, 2017

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

👤

Provider Name / Credentials Updated May 24, 2017

Recorded as JAMES EBOT, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2017

Neurological Surgery (License #5370 in FL)

🟢

Initial NPI Registration & Enumeration May 11, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083141899

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 11, 2017

Last Update: May 24, 2017

Deactivation Date: May 28, 2026

Update or Correct Profile

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Phone: 9049532000

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.