JAIME IBANEZ – Diagnostic Radiology Physician, NPI 1033616396
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for JAIME IBANEZ
17 Davis Blvd Ste 308
Tampa, FL 336063438
Phone: (813) 259-0661
Type: Location
4250 Hospital Dr
Marianna, FL 324461917
Phone: (850) 526-2200
Fax: (850) 718-2844
Type: Location
Davis Boulevard, Davis Islands, Tampa, Hillsborough County, Florida, 33606, United States
TAMPA, FL 336063438
Phone: (813) 259-0661
Type: Location
8375 DIX ELLIS TRL STE 201
JACKSONVILLE, FL 322568241
Phone: (904) 236-5884
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $638.
Total Amount is formed as General ($638) + Research ($0) + Ownership ($0) = $638.
Last reported payment date: 2024-12-14 • Largest payer in this snapshot: COLOPLAST CORP ($495).
Total Amount
$638
General + Research + Ownership
Payments
7
Total payment records
General Amount
$638
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| COLOPLAST CORP | $495 |
| Balt USA, LLC | $142 |
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: 2026-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20201021000528 | I | Diagnostic Radiology | FL | TBD |
| I20240718002018 | I | Diagnostic Radiology | AZ | TBD |
| I20250210002417 | I | Diagnostic Radiology | ND | TBD |
| I20250227000975 | I | Diagnostic Radiology | TX | TBD |
| I20260128003434 | I | Diagnostic Radiology | AL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | AL | |
| Diagnostic Radiology | FL | |
| Internal Medicine | AL | |
| Diagnostic Radiology | FL | |
| Nurse Practitioner | AL | |
| Diagnostic Radiology | FL | |
| General Practice, Emergency Medicine | TX | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | TN |
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