Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003878026 Individual Practitioner Male Practitioner

Peter Perry , PA-C

Physician Assistant - Medical • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Peter Perry, PA-C is a registered healthcare professional specializing in Physician Assistant - Medical in Orange Park, FL. Practice services are available at 1409 KINGSLEY AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1409 Kingsley Ave
Suite 6a

Orange Park, FL 320734537

Telephone 9042647517
Fax 9042640015
Associated Practice Facility / Clinic
🏢 Haeussner Dental Group Facility NPI 1174642375

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.8 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Orange Park, FL (2836 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.9% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
92 73 $175.00 $91.60
99213 Established patient office or other outpatient visit, typically 15 minutes
63 42 $100.00 $63.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
29 17 $35.00 $11.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
21 21 $152.86 $97.35
G0444 Annual depression screening, 5 to 15 minutes
21 21 $25.00 $15.12
99497 Advance care planning, first 30 minutes
15 15 $130.00 $73.46

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License FL PA9103649

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
293082000 (FL)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1629125638

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active August 07, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address August 07, 2017

Registered at 7855 ARGYLE FOREST BLVD., STE. 101, JACKSONVILLE, FL 322445597 (Tel: 9042826331)

📍
Updated Practice Location August 07, 2017

Registered at 1409 KINGSLEY AVE, SUITE 6A, ORANGE PARK, FL 320734537 (Tel: 9042647517)

👤
Provider Name / Credentials Updated August 07, 2017

Recorded as PETER PERRY, P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2017

Physician Assistant (License #PA9103649 in FL)

NPI Profile Active August 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2015

Registered at 1409 KINGSLEY AVE, SUITE 6A, ORANGE PARK, FL 320734537 (Tel: 9042647517)

📍
Updated Business Mailing Address August 18, 2015

Registered at PO BOX 850001, ORLANDO, FL 328850192 (Tel: 9042647517)

👤
Provider Name / Credentials Updated August 18, 2015

Recorded as PETER PERRY, P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2015

Physician Assistant (License #PA9103649 in FL)

🟢
Initial NPI Registration & Enumeration April 05, 2006

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: 1003878026
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2006
Last Update: August 07, 2017
Sole Proprietor: No

Mailing Address

7855 Argyle Forest Blvd., Ste. 101

Jacksonville, FL 322445597

Phone: 9042826331

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.