PETER CONSTANTINIDES (PA-C) – Physician Assistant, NPI 1063183465

PETER CONSTANTINIDES (PA-C) is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9115182 (FL). The NPI Number for PETER CONSTANTINIDES (PA-C) is 1063183465

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
PETER CONSTANTINIDES (PA-C)
NPI
1063183465
Phone
(904) 376-3707
Address
PO BOX 40767
Enumeration Date
24 September 2021
Last Update Date
31 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043983888
Graduation Year
2021 (5 years ago)
PAC ID
1759772742
Group Practice PAC ID
5395725188
Professional Enrollment ID
I20211230000726
Address ID
FL322078345JA836XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

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

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: 2021-12-30

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211230000726IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2020$0
36821Relocation of arm vein with connection to arm artery for hemodialysis1919$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1411$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32203)

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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: 5395725188View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Thoracic Surgery, Cardiac SurgeryGA
Physician AssistantFL
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyFL
Physician AssistantTX
Thoracic Surgery, Cardiac SurgeryGA
Physician AssistantFL
Physician AssistantFL
Vascular Surgery, General SurgeryFL

Reviews

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Frequently asked questions

Can I cross-check PETER CONSTANTINIDES (PA-C) using NPI 1063183465?
NPI 1063183465 belongs to PETER CONSTANTINIDES (PA-C); compare other details if you need extra assurance.
Is PETER CONSTANTINIDES (PA-C) still an active registrant?
PETER CONSTANTINIDES (PA-C) carries an active NPI according to the public dataset.
How would a patient describe PETER CONSTANTINIDES (PA-C)'s focus?
For PETER CONSTANTINIDES (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Florida is PETER CONSTANTINIDES (PA-C) registered?
Use Jacksonville, Florida as the headline location for PETER CONSTANTINIDES (PA-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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