KATHRYN DASBURG (MD) – Emergency Medicine Physician, NPI 1104313089

KATHRYN DASBURG (MD) is a healthcare provider. based in Gainesville, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. ME157519 (FL). The NPI Number for KATHRYN DASBURG (MD) is 1104313089

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN DASBURG (MD)
NPI
1104313089
Phone
(612) 839-0528
Address
1515 SW Archer Rd
Enumeration Date
17 April 2018
Last Update Date
25 July 2022

Doctor Profile

Medical School Name
FLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Secondary Phone
9549395000
Graduation Year
2018 (8 years ago)
PAC ID
1658624002
Group Practice PAC ID
6305849449
Professional Enrollment ID
I20220824003042
Address ID
FL331762118MI8900XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for KATHRYN DASBURG (MD)

  • 1515 SW Archer Rd

    Gainesville, FL 326081134

    Phone: (612) 839-0528

    Type: Location

  • 791, Crandon Boulevard, Key Biscayne, Miami-Dade County, Florida, 33149, United States

    OCEAN TOWER II, PH8

    KEY BISCAYNE, FL 33149

    Phone: (612) 839-0528

    Type: Mailing

  • UF Health Shands Cancer Hospital, 1515, Archer Road, Gainesville, Alachua County, Florida, 32608, United States

    GAINESVILLE, FL 326081134

    Phone: (612) 839-0528

    Type: Location

  • 603 7TH ST S STE 360

    SAINT PETERSBURG, FL 337014732

    Phone:

    Type: Mailing

  • 701 6TH ST S

    SAINT PETERSBURG, FL 337014814

    Phone: (727) 823-1234

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-08-24

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
I20220824003042IEmergency MedicineFLTBD

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
99285Emergency department visit with high level of medical decision making226214$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only166157$0
99291Critical care, first 30-74 minutes3938$0
99284Emergency department visit with moderate level of medical decision making3636$0
View full utilization report →

Insurance plans in this area (ZIP 32608)

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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: 6305849449View full group profile
NameSpecialtyState
Emergency MedicineNY
Emergency MedicineFL
Emergency MedicineLA
Emergency MedicineFL
Emergency MedicineNC
Emergency MedicineFL
Nurse PractitionerFL
Emergency MedicineNY
Emergency MedicineFL
Emergency MedicineNY

Reviews

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Frequently asked questions

What number should I use to identify KATHRYN DASBURG (MD) for billing?
Administrative and clinical systems typically use NPI 1104313089 for KATHRYN DASBURG (MD).
Quick check: is KATHRYN DASBURG (MD) active?
Public NPPES data shows KATHRYN DASBURG (MD) with an active NPI status right now.
How should patients interpret KATHRYN DASBURG (MD)'s specialty?
The extract shows Emergency Medicine Physician for KATHRYN DASBURG (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATHRYN DASBURG (MD)?
KATHRYN DASBURG (MD) is associated with Gainesville, Florida in the same public data insurers reference.
Why is information missing for KATHRYN DASBURG (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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