MR. BRENT DAVIN HOPSON (PA-C) – Physician Assistant, NPI 1104978287
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for MR. BRENT DAVIN HOPSON (PA-C)
South Street, Lincolnville, Saint Augustine, Saint Johns County, Florida, 32084, United States
MIDFLORIDA DERMATOLOGY AND PLASTIC SURGERY
ST AUGUSTINE, FL 320860258
Phone: (407) 299-7333
Type: Mailing
South Ponce de Leon Boulevard, Saint Augustine, Saint Johns County, Florida, 32084, United States
ST AUGUSTINE, FL 32086
Phone: (407) 299-7333
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: 2018-12-27
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 |
|---|---|---|---|---|
| I20181227000630 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,621 | 151 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 334 | 157 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 287 | 139 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 128 | 90 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 62 | 62 | $0 |
Insurance plans in this area (ZIP 32086)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Plastic And Reconstructive Surgery | FL | |
| A L L E R G Y/ I M M U N O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Plastic And Reconstructive Surgery, Otolaryngology | FL | |
| Family Practice, Dermatology | TX | |
| D E R M A T O L O G Y | FL |
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