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Deactivated NPI 1316268311 Deactivated / Inactive NPI Male Practitioner

David Robert Skaggs

Physician Assistant - Medical • St Augustine, FL

✓ Accepts Medicare Assignment
⚠️

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, David Skaggs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2010
NPI Deactivation Date November 16, 2017
Total Practice Duration ~7 Years of Practice (2010 – 2017)

Professional Overview & Biography Verified Profile Summary

David Skaggs was a registered Physician Assistant - Medical practicing in St Augustine, FL. Throughout an active medical career spanning 7 years, David Skaggs provided care at the practice location at 2460 OLD MOULTRIE RD STE 5 until profile deactivation on 2017-11-16.

David Skaggs was affiliated with Island Doctors Intrastate Llc and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2460 Old Moultrie Rd Ste 5

St Augustine, FL 320864198

Telephone 9047975740

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in St Augustine, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -6.0 yrs vs City Avg
City Avg: 22.0 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
9 Specialists

Practicing in St Augustine, FL (2836 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Skaggs (16 Years) 16 Yrs
St Augustine Specialty Average (22.0 Years) 22.0 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
42 41 $144.00 $75.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 17 $204.00 $106.03

Medical Specialties & State Licenses

CMS Verified: 2026-02-24
Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License FL PA9113656

Definition to come...

Hospital & Practice Group Affiliations

Island Doctors Intrastate Llc

100 Arricola Ave, Saint Augustine, FL 320804515

Phone: 9048254368

Island Doctors Intrastate Llc

2460 Old Moultrie Rd, St Augustine, FL 320864198

Island Doctors Intrastate Llc

100 Arricola Ave, St Augustine, FL 320804515

Island Doctors Intrastate Llc

199 S Us Hwy 17 A, East Palatka, FL 321316071

Phone: 3863120250

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1154391753

Doctor of Osteopathic Medicine (D.O.)

Michael Havro , PA-C

Physician Assistant

NPI 1164162251

Physician Assistant (Certified)

Dr. Luis Cordero , MD

General Practice

NPI 1922204478

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Business Mailing Address February 24, 2026

Registered at 2460 OLD MOULTRIE RD STE 1, ST AUGUSTINE, FL 320864198

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2026

Physician Assistant (License #PA9113656 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2020

Physician Assistant (License #9113656 in FL)

📍
Updated Practice Location October 28, 2020

Registered at 2460 OLD MOULTRIE RD STE 5, ST AUGUSTINE, FL 320864198 (Tel: 9047975740)

📍
Updated Business Mailing Address October 28, 2020

Registered at 2460 OLD MOULTRIE RD STE 5, ST AUGUSTINE, FL 320864198

👤
Provider Name / Credentials Updated October 28, 2020

Recorded as DAVID SKAGGS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2020

Physician Assistant (License #9105459 in FL)

⚠️
NPI Profile Deactivated November 16, 2017

Record deactivated on November 16, 2017

NPI Profile Active June 14, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2010

Registered at 100 ARRICOLA AVE, SAINT AUGUSTINE, FL 320804515 (Tel: 9048254368)

📍
Updated Business Mailing Address June 14, 2010

Registered at 100 ARRICOLA AVE, SAINT AUGUSTINE, FL 320804515

👤
Provider Name / Credentials Updated June 14, 2010

Recorded as DAVID SKAGGS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2010

Physician Assistant (License #PA9105459 in FL)

🟢
Initial NPI Registration & Enumeration June 14, 2010

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: 1316268311
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2010
Last Update: February 24, 2026
Deactivation Date: November 16, 2017
Sole Proprietor: No

Mailing Address

2460 Old Moultrie Rd Ste 1

St Augustine, FL 320864198

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.