DR. JASON ANDREW BOARDMAN (M.D) – Surgery Physician, NPI 1174745962
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,163 GENERAL SURGERY in FL
Provider Addresses for DR. JASON ANDREW BOARDMAN (M.D)
1919 E HWY 50 STE 201
CLERMONT, FL 347111975
Phone: (352) 243-2622
Fax: (352) 243-6277
Type: Location
West Colonial Drive, Ocoee, Orange County, Florida, 34761, United States
SUITE 288
OCOEE, FL 347613400
Phone: (407) 521-3600
Fax: (407) 521-3603
Type: Mailing
1804, Oakley Seaver Drive, Clermont, Lake County, Florida, 34711, United States
SUITE A
CLERMONT, FL 347111925
Phone: (352) 243-2622
Fax: (352) 243-6277
Type: Location
1804 OAKLEY SEAVER DR STE A
CLERMONT, FL 347111925
Phone: (407) 521-3600
Fax: (407) 521-3603
Type: Mailing
1804 Oakley Seaver Dr Ste A
Clermont, FL 347111925
Phone: (352) 243-2622
Fax: (352) 243-6277
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $377.
Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Elucent Medical ($114).
Total Amount
$377
General + Research + Ownership
Payments
15
Total payment records
General Amount
$377
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Elucent Medical | $114 |
| Davol Inc. | $94 |
| Medtronic, Inc. | $62 |
| Integra LifeSciences Corporation | $57 |
| Acera Surgical, Inc. | $21 |
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: 2005-08-05
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 |
|---|---|---|---|---|
| I20050805000526 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 98 | 64 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 74 | 71 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 62 | 50 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 44 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 27 | 24 | $0 |
Insurance plans in this area (ZIP 34711)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| N E U R O L O G Y | FL | |
| General Surgery | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | FL | |
| Nurse Practitioner | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Physician Assistant | FL | |
| Physician Assistant | FL |
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