Active NPI 1104136399 Individual Practitioner Male Practitioner

Jared A Destackelberg , PA

Physician Assistant • Ocala, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jared Destackelberg, PA is a certified Physician Assistant practicing in Ocala, FL. With approximately 16 years of clinical experience since completing medical education in 2010, Jared Destackelberg delivers high-quality medical care to the local community at 1901 SE 18TH AVE.

Jared Destackelberg maintains professional affiliations with Neurosurgery And Spine Specialists, Smh Physician Services Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, fusion of additional segment of spine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1901 Se 18th Ave
Ste 101

Ocala, FL 344718215

Telephone 3526223360

Fax 3526713269

Associated Practice Facility / Clinic

🏢 Associates For Urology Care Of Ocala, P.a. Facility NPI 1619080231

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ocala, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +4.6 yrs vs City Avg

City Avg: 11.4 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

122 Specialists

Practicing in Ocala, FL (10376 Statewide)

Telehealth Adoption Rate

4.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

13.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Destackelberg (16 Years) 16 Yrs

Ocala Specialty Average (11.4 Years) 11.4 Yrs

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
99213 Established patient office or other outpatient visit, typically 15 minutes	168	131	$91.60	$74.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$163.90	$138.66
22614 Fusion of additional segment of spine	59	18	$55.76	$54.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	50	$56.00	$46.32
63048 Partial removal of spine bone with release of spinal cord and/or nerves	49	24	$30.04	$29.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	41	$179.21	$143.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$109.27	$92.34
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	23	16	$36.50	$35.92
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	20	$156.91	$131.34
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$108.56	$106.82
22633 Fusion of spine in lower back with partial removal of spine bone and disc	16	15	$256.44	$236.87
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	16	16	$142.23	$128.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$141.05	$105.74
22612 Fusion of spine in lower back	11	11	$222.48	$179.67
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$106.98	$105.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	170	132	$92.13	$74.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$165.38	$139.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	53	$55.44	$46.60
63048 Partial removal of spine bone with release of spinal cord and/or nerves	49	20	$29.83	$29.35
22614 Fusion of additional segment of spine	44	21	$55.55	$54.66
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	36	24	$56.48	$55.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$109.65	$94.25
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	27	27	$241.86	$237.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$198.98	$144.39
22842 Placement of stabilizing device to back, 3-6 spine bone segments	24	24	$108.31	$106.58
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	21	14	$36.81	$36.11
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$156.02	$107.82
22845 Placement of stabilizing device to front, 2-3 spine bone segments	16	16	$103.37	$101.72
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$255.46	$240.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$134.96	$106.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	130	$92.86	$75.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	57	$59.11	$47.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$177.76	$141.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$117.74	$95.39
63048 Partial removal of spine bone with release of spinal cord and/or nerves	33	17	$30.86	$30.57
22614 Fusion of additional segment of spine	32	15	$57.34	$56.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$199.32	$168.12
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	19	13	$85.04	$36.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	15	$39.02	$32.98
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	17	$464.49	$236.68
22842 Placement of stabilizing device to back, 3-6 spine bone segments	16	16	$111.89	$110.60
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$160.42	$105.88
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	13	13	$162.53	$151.20
22612 Fusion of spine in lower back	11	11	$229.93	$206.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	120	95	$91.15	$77.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$115.78	$94.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	48	$55.98	$47.19
22614 Fusion of additional segment of spine	50	22	$57.53	$57.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$174.57	$142.70
63048 Partial removal of spine bone with release of spinal cord and/or nerves	40	18	$31.08	$31.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$201.13	$170.96
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	28	20	$38.04	$38.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	16	$38.52	$32.74
22842 Placement of stabilizing device to back, 3-6 spine bone segments	24	22	$112.04	$112.04
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$160.48	$106.98
22612 Fusion of spine in lower back	16	16	$230.29	$230.29
22633 Fusion of spine in lower back with partial removal of spine bone and disc	15	15	$270.07	$261.07
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	15	15	$314.14	$155.66
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	15	11	$60.25	$58.31
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	14	14	$249.04	$240.15
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$111.46	$111.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	114	$77.61	$63.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$170.44	$141.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	46	$46.84	$38.68
99091 Collection and interpretation of physical parameters stored in computers minimum of 30 minutes	50	19	$61.85	$50.53
63048 Partial removal of spine bone with release of spinal cord and/or nerves	38	16	$63.61	$29.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$215.75	$175.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$108.33	$92.35
22614 Fusion of additional segment of spine	28	15	$58.65	$58.48
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	24	17	$60.92	$59.74
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	20	20	$259.14	$252.65
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	17	$194.70	$107.87
22842 Placement of stabilizing device to back, 3-6 spine bone segments	18	16	$114.26	$114.10
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	14	$91.49	$36.83
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	14	$583.00	$253.98
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$301.46	$106.23
22612 Fusion of spine in lower back	11	11	$233.67	$211.78
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	11	11	$155.64	$126.45
63012 Partial removal of bone and/or release of lower spinal cord or spinal nerves	11	11	$315.56	$81.14
22845 Placement of stabilizing device to front, 2-3 spine bone segments	11	11	$109.32	$109.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	149	120	$46.82	$38.01
99213 Established patient office or other outpatient visit, typically 15 minutes	125	110	$78.52	$62.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$114.31	$92.13
22614 Fusion of additional segment of spine	51	20	$58.63	$58.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$172.23	$140.82
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	34	25	$59.97	$59.78
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	34	23	$38.76	$38.64
63048 Partial removal of spine bone with release of spinal cord and/or nerves	33	16	$31.68	$31.58
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	30	30	$257.81	$249.46
22842 Placement of stabilizing device to back, 3-6 spine bone segments	23	22	$114.59	$114.24
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	22	21	$168.82	$161.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$206.34	$174.87
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	17	17	$162.09	$109.31
22633 Fusion of spine in lower back with partial removal of spine bone and disc	17	17	$274.06	$257.16
22612 Fusion of spine in lower back	16	15	$235.79	$218.01
22845 Placement of stabilizing device to front, 2-3 spine bone segments	16	16	$209.36	$109.45
22846 Placement of stabilizing device to front, 4-7 spine bone segments	13	13	$113.98	$113.63
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$113.88	$113.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	159	119	$47.52	$36.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$110.68	$90.37
99213 Established patient office or other outpatient visit, typically 15 minutes	124	110	$74.83	$60.96
22614 Fusion of additional segment of spine	47	24	$61.46	$56.88
63048 Partial removal of spine bone with release of spinal cord and/or nerves	47	22	$31.27	$30.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$212.98	$173.71
22842 Placement of stabilizing device to back, 3-6 spine bone segments	29	29	$112.77	$110.97
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	28	19	$59.05	$58.11
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	27	27	$250.38	$246.37
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	27	27	$160.15	$108.64
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	17	$36.47	$35.89
22612 Fusion of spine in lower back	23	23	$230.21	$187.74
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	22	22	$163.38	$154.66
22845 Placement of stabilizing device to front, 2-3 spine bone segments	18	18	$108.26	$106.53
22633 Fusion of spine in lower back with partial removal of spine bone and disc	13	13	$270.28	$265.96
22214 Incision of spine to correct deformity at lower spinal column	11	11	$214.97	$126.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	254	187	$74.53	$61.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$115.98	$90.78
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	54	35	$88.85	$38.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	37	$46.91	$36.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$165.70	$138.77
22633 Fusion of spine in lower back with partial removal of spine bone and disc	26	26	$605.74	$258.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$217.50	$173.02
22842 Placement of stabilizing device to back, 3-6 spine bone segments	25	24	$247.54	$112.06
22614 Fusion of additional segment of spine	22	11	$58.49	$57.55
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	20	20	$619.48	$249.04
22612 Fusion of spine in lower back	19	18	$372.13	$144.36
22845 Placement of stabilizing device to front, 2-3 spine bone segments	16	16	$308.69	$107.75
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	16	12	$125.97	$58.78
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	13	13	$147.44	$139.71
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$300.99	$85.65
22214 Incision of spine to correct deformity at lower spinal column	12	12	$346.08	$106.46

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PAT 9105672

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

Smh Physician Services Inc

2600 Laurel Rd E, Nokomis, FL 342753226

Phone: 9419174896

Smh Physician Services Inc

1921 Waldemere St, Sarasota, FL 342392941

Smh Physician Services Inc

1700 S Tamiami Trl, Sarasota, FL 342393509

Phone: 9419177760

Neurosurgery And Spine Specialists

5831 Bee Ridge Rd, Sarasota, FL 342335089

Smh Physician Services Inc

1700 S Tamiami Trail, Sarasota, FL 342393509

Neurosurgery And Spine Specialists

5831 Bee Ridge Rd, Sarasota, FL 342335089

Phone: 9413085700101

Practice Associates & Co-Workers

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

10 Associated Practitioners

Nan Nan Hou , PA-C

Physician Assistant

NPI 1083909519

Physician Assistant (Certified)

Amanda Knight , RN

Nurse Practitioner - Adult Health

NPI 1114392263

Registered Nurse

Dr. Daniel Robertson , MD

Neurological Surgery

NPI 1215018510

Doctor of Medicine (M.D.)

Dr. Mark Oliver , MD

Neurological Surgery

NPI 1265520027

Doctor of Medicine (M.D.)

Hakeem Yousef , PA-C

Physician Assistant

NPI 1316466246

Physician Assistant (Certified)

Christina Ager , PA

Physician Assistant

NPI 1326612433

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 21, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 21, 2010

Registered at 1901 SE 18TH AVE, STE 101, OCALA, FL 344718215 (Tel: 3526223360)

📍

Updated Business Mailing Address October 21, 2010

Registered at 1901 SE 18TH AVE, STE 101, OCALA, FL 344718215 (Tel: 3526223360)

👤

Provider Name / Credentials Updated October 21, 2010

Recorded as JARED DESTACKELBERG, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2010

Physician Assistant (License #PAT 9105672 in FL)

🟢

Initial NPI Registration & Enumeration October 21, 2010

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 Jared Destackelberg. Be the first to share your experience!

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

NPI Administrative Meta

NPI Number: 1104136399

Entity Type:

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

Enumeration Date: October 21, 2010

Last Update: October 21, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1901 Se 18th Ave, Ste 101

Ocala, FL 344718215

Phone: 3526223360

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.