DR. PAUL D. ZAWATSKY (M.D.) – Family Medicine Physician, NPI 1164431037

DR. PAUL D. ZAWATSKY (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME63004 (FL). The NPI Number for DR. PAUL D. ZAWATSKY (M.D.) is 1164431037

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL D. ZAWATSKY (M.D.)
NPI
1164431037
Phone
(904) 260-8424
Address
11481 OLD SAINT AUGUSTINE RD STE 103
Enumeration Date
7 August 2006
Last Update Date
19 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192213717
Graduation Year
1988 (38 years ago)
PAC ID
6507023181
Group Practice PAC ID
5597752063
Professional Enrollment ID
I20120209000456
Address ID
GA315486515KI1390XEXTX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. PAUL D. ZAWATSKY (M.D.)

  • 11481 OLD SAINT AUGUSTINE RD STE 103

    JACKSONVILLE, FL 322581474

    Phone: (904) 260-8424

    Fax: (904) 341-4777

    Type: Location

  • 10609, Old Saint Augustine Road, Jacksonville, Duval County, Florida, 32257, United States

    SUITE 4

    JACKSONVILLE, FL 32257

    Phone: (904) 260-8424

    Fax: (904) 260-4420

    Type: Mailing

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: 2012-02-09

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
I20120209000456IFamily PracticeFLTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes34099$0
99214Established patient office or other outpatient visit, 30-39 minutes17282$0
99497Advance care planning, first 30 minutes8178$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7474$0
View full utilization report →

Insurance plans in this area (ZIP 32258)

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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: 5597752063View full group profile
NameSpecialtyState
Internal MedicineSC
Physical Medicine And RehabilitationNY
Physical Therapist In Private PracticeNY
Nurse PractitionerGA
Internal MedicineGA
Internal MedicineTN
Family PracticeUT
Orthopedic SurgeryFL
Physical Medicine And RehabilitationGA
Internal MedicineGA

Reviews

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Frequently asked questions

How do payers reference DR. PAUL D. ZAWATSKY (M.D.)?
For DR. PAUL D. ZAWATSKY (M.D.), use NPI 1164431037 as the unique 10-digit identifier.
Would DR. PAUL D. ZAWATSKY (M.D.) appear as active to a payer?
You can treat DR. PAUL D. ZAWATSKY (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. PAUL D. ZAWATSKY (M.D.)?
At a glance, DR. PAUL D. ZAWATSKY (M.D.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. PAUL D. ZAWATSKY (M.D.) registered?
Use Jacksonville, Florida as the headline location for DR. PAUL D. ZAWATSKY (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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