MR. THOMAS JR. CORKERY (PA-C) – Physician Assistant, NPI 1043893936

MR. THOMAS JR. CORKERY (PA-C) is a healthcare provider. based in Longwood, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9114283 (FL). The NPI Number for MR. THOMAS JR. CORKERY (PA-C) is 1043893936

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. THOMAS JR. CORKERY (PA-C)
NPI
1043893936
Phone
(407) 215-0095
Address
2290 N RONALD REAGAN BLVD STE 116
Enumeration Date
29 April 2021
Last Update Date
22 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7724187797
Graduation Year
2021 (5 years ago)
PAC ID
6204234073
Group Practice PAC ID
5496101784
Professional Enrollment ID
I20211008000058
Address ID
FL349862281PO540XXBLVD402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MR. THOMAS JR. CORKERY (PA-C)

  • 2290 N RONALD REAGAN BLVD STE 116

    LONGWOOD, FL 327503534

    Phone: (407) 215-0095

    Type: Mailing

  • 3110 W ARCH ST

    TAMPA, FL 336075104

    Phone: (239) 503-9734

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $174.

Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($109).

Total Amount

$174

General + Research + Ownership

Payments

9

Total payment records

General Amount

$174

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-10-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211008000058IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 32750)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496101784View full group profile
NameSpecialtyState
Physician AssistantFL
Mental Health CounselorFL
Clinical Social WorkerFL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for MR. THOMAS JR. CORKERY (PA-C) in U.S. healthcare records?
The official identifier for MR. THOMAS JR. CORKERY (PA-C) is NPI 1043893936.
Would MR. THOMAS JR. CORKERY (PA-C) appear as active to a payer?
You can treat MR. THOMAS JR. CORKERY (PA-C) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MR. THOMAS JR. CORKERY (PA-C)?
MR. THOMAS JR. CORKERY (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MR. THOMAS JR. CORKERY (PA-C)?
Directory geography for MR. THOMAS JR. CORKERY (PA-C) centers on Longwood, Florida.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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