ROBERT OBENRADER (PA) – Physician Assistant, NPI 1063461135

ROBERT OBENRADER (PA) is a healthcare provider. based in Hudson, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9103661 (FL). The NPI Number for ROBERT OBENRADER (PA) is 1063461135

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT OBENRADER (PA)
NPI
1063461135
Phone
(727) 697-2200
Address
7544 JACQUE RD
Enumeration Date
8 May 2006
Last Update Date
7 October 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7276972200
Graduation Year
2005 (21 years ago)
PAC ID
8729150370
Group Practice PAC ID
1759276488
Professional Enrollment ID
I20080626000556
Address ID
FL346677162HU7544XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for ROBERT OBENRADER (PA)

  • 7544, Jacque Road, Hudson, Pasco County, Florida, 34667, United States

    HUDSON, FL 346677162

    Phone: (727) 697-2200

    Fax: (727) 863-8774

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,311.

Total Amount is formed as General ($1,311) + Research ($0) + Ownership ($0) = $1,311.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Stryker Corporation ($1,100).

Total Amount

$1,311

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,311

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2008-06-26

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
I20080626000556IPhysician 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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg11212$0
27447Replacement of knee joint, both sides of knee3128$0
23472Prosthetic repair of shoulder joint, total shoulder2222$0
20610Aspiration and/or injection of fluid from large joint2118$0
99214Established patient office or other outpatient visit, 30-39 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 34667)

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Provider's Procedures

ROBERT OBENRADER (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL20610Aspiration and/or injection of large joint or joint capsule1211

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: 1759276488View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physician AssistantFL
Orthopedic SurgeryFL
Occupational Therapist In Private PracticeFL
-FL
Physician AssistantFL
Physician AssistantFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeKY
Orthopedic SurgeryFL

Reviews

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Frequently asked questions

Is there an official ID for ROBERT OBENRADER (PA) in U.S. healthcare records?
The official identifier for ROBERT OBENRADER (PA) is NPI 1063461135.
Active or inactive — what applies to ROBERT OBENRADER (PA)?
You should see ROBERT OBENRADER (PA) as active in CMS-hosted NPPES data.
How would a patient describe ROBERT OBENRADER (PA)'s focus?
For ROBERT OBENRADER (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is ROBERT OBENRADER (PA) associated with Hudson?
Public fields place ROBERT OBENRADER (PA) around Hudson, Florida. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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