Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982916888 Individual Practitioner Male Practitioner

Jon P Boettger , PA

Physician Assistant • Tampa, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jon Boettger, PA is a certified Physician Assistant practicing in Tampa, FL. With approximately 16 years of clinical experience since completing medical education in 2010, Jon Boettger delivers high-quality medical care to the local community at 12902 USF MAGNOLIA DR.

Jon Boettger is affiliated with H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first, fluoroscopic guidance for insertion, replacement or removal of central venous access device. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12902 Usf Magnolia Dr

Tampa, FL 336129416

Telephone 8137454673
Associated Practice Facility / Clinic

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 in Tampa, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +7.7 yrs vs City Avg
City Avg: 8.3 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
855 Specialists

Practicing in Tampa, FL (10376 Statewide)

Telehealth Adoption Rate
18.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boettger (16 Years) 16 Yrs
Tampa Specialty Average (8.3 Years) 8.3 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
14 14 $281.43 $109.54

Medical Specialties & State Licenses

CMS Verified: 2022-05-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9105512

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License TX PA12179

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
391145503 (TX)

Hospital & Practice Group Affiliations

H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc

10901 Mckinley Dr, Tampa, FL 336126455

Phone: 8137454673

H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc

12902 Usf Magnolia Dr, Tampa, FL 336129416

Phone: 8888602778

Secondary Practice Locations

6001 Kyle Pkwy Ste 101

Kyle, TX 78640

Phone: 5122941771

4450 Sojourn Dr Ste 200

Addison, TX 75001

Phone: 9727330014

Practice Associates & Co-Workers

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

40 Associated Practitioners
Brandon Holmes

Nurse Anesthetist, Certified Registered

NPI 1003444746
NPI 1003466525

Physician Assistant (Certified)

Dr. Jing Wang , MD

Pathology - Anatomic Pathology

NPI 1003485590

Doctor of Medicine (M.D.)

Taryn Raval , APRN

Nurse Practitioner

NPI 1003585209

Advanced Practice Registered Nurse

Sara Tinsley , ARNP

Nurse Practitioner

NPI 1003823535

Advanced Registered Nurse Practitioner

Dr. Jason Klapman , MD

Internal Medicine - Gastroenterology

NPI 1003836396

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location May 06, 2022

Registered at 12902 USF MAGNOLIA DR, TAMPA, FL 336129416 (Tel: 8137454673)

📍
Updated Business Mailing Address May 06, 2022

Registered at PO BOX 198441, ATLANTA, GA 303848441

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2020

Physician Assistant (License #PA12179 in TX)

📍
Updated Practice Location November 04, 2019

Registered at 4450 SOJOURN DR STE 200, ADDISON, TX 75001 (Tel: 9727330014)

📍
Updated Business Mailing Address November 04, 2019

Registered at PO BOX 911230, DALLAS, TX 753911230 (Tel: 9729978000)

📍
Updated Practice Location March 20, 2019

Registered at 6001 KYLE PKWY STE 101, KYLE, TX 78640 (Tel: 5122941771)

📍
Updated Business Mailing Address March 20, 2019

Registered at 6001 KYLE PKWY STE 101, KYLE, TX 786406112 (Tel: 5122941771)

NPI Profile Active January 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2017

Registered at 26844 TANIC DR, STE 101, WESLEY CHAPEL, FL 335444616 (Tel: 8137796303)

📍
Updated Business Mailing Address January 09, 2017

Registered at 26844 TANIC DR, STE 101, WESLEY CHAPEL, FL 335444616 (Tel: 8137796303)

👤
Provider Name / Credentials Updated January 09, 2017

Recorded as JON BOETTGER, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2017

Physician Assistant (License #PA9105512 in FL)

🟢
Initial NPI Registration & Enumeration July 08, 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: 1982916888
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2010
Last Update: May 06, 2022
Sole Proprietor: No

Mailing Address

Po Box 198441

Atlanta, GA 303848441

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.