PABLO MANUEL DEJESUS (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1013176031
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for PABLO MANUEL DEJESUS (PHYSICIAN ASSISTANT)
9 PINE CONE DR STE 102
PALM COAST, FL 321378683
Phone: (386) 445-6191
Type: Mailing
PALM COAST FAMILY PRACTICE
9 PINE CONE DRIVE, SUITE 102
PALM COAST, FL 32137
Phone: (386) 445-6191
Fax: (386) 445-3916
Type: Location
William Beaumont Army Medical Center, 5005, North Piedras Street, El Paso, El Paso County, Texas, 79930, United States
WBAMC
EL PASO, TX 799205001
Phone: (915) 569-2107
Fax: (915) 569-1233
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Novo Nordisk Inc ($31).
Total Amount
$111
General + Research + Ownership
Payments
6
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $31 |
| ABBVIE INC. | $27 |
| Janssen Pharmaceuticals, Inc | $20 |
| Medtronic, Inc. | $17 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-11-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231101003596 | I | Physician Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 32137)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Family Practice | FL | |
| Hand Surgery, Orthopedic Surgery | CA | |
| Occupational Therapist In Private Practice | GA | |
| - | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Hand Surgery, Orthopedic Surgery, Hand Surgery | MA | |
| Physician Assistant | FL | |
| General Practice | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.