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Active NPI 1508527748 Individual Practitioner Female Practitioner

Nicole Russo Cavignaro , PA-C

Physician Assistant • St Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicole Cavignaro, PA-C is a certified Physician Assistant practicing in St Augustine, FL. With approximately 4 years of clinical experience since completing medical education in 2022, Nicole Cavignaro delivers high-quality medical care to the local community at 316 PASEO REYES DR.

Nicole Cavignaro is affiliated with Bold City Dermatology Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

316 Paseo Reyes Dr

St Augustine, FL 320958464

Telephone 9045445800
Fax 9045445800
Associated Practice Facility / Clinic
🏢 Bold City Dermatology Llc Facility NPI 1538761655

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in St Augustine, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -7.1 yrs vs City Avg
City Avg: 11.1 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
41 Specialists

Practicing in St Augustine, FL (10376 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cavignaro (4 Years) 4 Yrs
St Augustine Specialty Average (11.1 Years) 11.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
241 48 $11.10 $5.30
17000 Destruction of skin growth
74 59 $115.68 $47.08
99213 Established patient office or other outpatient visit, typically 15 minutes
56 53 $157.10 $75.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
45 33 $97.37 $46.53
11102 Tangential biopsy of single skin lesion
36 35 $169.82 $75.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
25 25 $193.94 $92.69
11103 Biopsy of related skin growth, each additional growth
16 14 $85.24 $40.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 13 $221.83 $106.03

Medical Specialties & State Licenses

CMS Verified: 2024-08-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9117532

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

Bold City Dermatology Llc

316 Paseo Reyes Dr, St Augustine, FL 320958464

Phone: 9045445800

Practice Associates & Co-Workers

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

2 Associated Practitioners
Elizabeth Ferdman , PA-C

Physician Assistant - Medical

NPI 1346747425

Physician Assistant (Certified)

NPI 1750619474

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location August 12, 2024

Registered at 316 PASEO REYES DR, ST AUGUSTINE, FL 320958464 (Tel: 9045445800)

📍
Updated Business Mailing Address August 12, 2024

Registered at 316 PASEO REYES DR, ST AUGUSTINE, FL 320958464 (Tel: 9045445800)

👤
Provider Name / Credentials Updated August 12, 2024

Recorded as NICOLE CAVIGNARO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2024

Physician Assistant (License #PA9117532 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2024

Dermatology (License #PA9117532 in FL)

📍
Updated Practice Location February 28, 2024

Registered at 1514 NIRA ST, JACKSONVILLE, FL 322078652 (Tel: 9043874991)

NPI Profile Active January 09, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2022

Registered at 70 FULLER POND RD, MIDDLETON, MA 019492508 (Tel: 9789300139)

📍
Updated Business Mailing Address January 09, 2022

Registered at 70 FULLER POND RD, MIDDLETON, MA 019492508 (Tel: 9789300139)

👤
Provider Name / Credentials Updated January 09, 2022

Recorded as NICOLE CAVIGNARO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 09, 2022

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: 1508527748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2022
Last Update: August 12, 2024
Sole Proprietor: No

Mailing Address

316 Paseo Reyes Dr

St Augustine, FL 320958464

Phone: 9045445800

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.