PETER CONSTANTINIDES (PA-C) – Physician Assistant, NPI 1063183465
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for PETER CONSTANTINIDES (PA-C)
PO BOX 40767
JACKSONVILLE, FL 322030767
Phone: (904) 376-3707
Type: Mailing
800 PRUDENTIAL DR STE 1100
JACKSONVILLE, FL 322078202
Phone: (904) 388-6518
Type: Location
3627 UNIVERSITY BLVD S, STE 135
JACKSONVILLE, FL 322164231
Phone: (904) 398-8147
Fax: (904) 400-6674
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $2,116.
Total Amount is formed as General ($2,116) + Research ($0) + Ownership ($0) = $2,116.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Silk Road Medical, Inc. ($663).
Total Amount
$2,116
General + Research + Ownership
Payments
32
Total payment records
General Amount
$2,116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Silk Road Medical, Inc. | $663 |
| CVRx, Inc. | $455 |
| Kerecis Limited | $226 |
| ShockWave Medical, Inc | $170 |
| Medtronic, Inc. | $169 |
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: 2021-12-30
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 |
|---|---|---|---|---|
| I20211230000726 | 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 |
|---|---|---|---|---|
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 20 | 20 | $0 |
| 36821 | Relocation of arm vein with connection to arm artery for hemodialysis | 19 | 19 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 14 | 11 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 32203)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | FL | |
| Nurse Practitioner | FL | |
| Thoracic Surgery, Cardiac Surgery | GA | |
| Physician Assistant | FL | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | FL | |
| Physician Assistant | TX | |
| Thoracic Surgery, Cardiac Surgery | GA | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Vascular Surgery, General Surgery | FL |
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