DR. JASON ROBERT KONOPACK (M.D.) – Family Medicine Physician, NPI 1174961429

DR. JASON ROBERT KONOPACK (M.D.) is a healthcare provider. based in Gainesville, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. TRN19165 (FL). The NPI Number for DR. JASON ROBERT KONOPACK (M.D.) is 1174961429

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON ROBERT KONOPACK (M.D.)
NPI
1174961429
Phone
Not provided
Address
1707 N MAIN ST
Enumeration Date
10 June 2013
Last Update Date
8 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3523336100
Graduation Year
2013 (13 years ago)
PAC ID
9537397096
Group Practice PAC ID
1759431182
Professional Enrollment ID
I20160629002945
Address ID
FL326054309GA6500XRDXX407
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:12State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. JASON ROBERT KONOPACK (M.D.)

  • 1707 N MAIN ST

    GAINESVILLE, FL 326093650

    Phone:

    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 4 Open Payments records for all available years, with a total value of $79.

Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Gilead Sciences, Inc. ($28).

Total Amount

$79

General + Research + Ownership

Payments

4

Total payment records

General Amount

$79

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

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: 2016-06-29

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
I20160629002945IFamily 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8541$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6937$0
99238Hospital discharge day management, 30 minutes or less3030$0
99239Hospital discharge day management, more than 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 32609)

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Provider's Procedures

DR. JASON ROBERT KONOPACK (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL83036Hemoglobin A1C level1414

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: 1759431182View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. JASON ROBERT KONOPACK (M.D.) in the U.S.?
In the U.S., DR. JASON ROBERT KONOPACK (M.D.) is identified by NPI 1174961429.
Is DR. JASON ROBERT KONOPACK (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. JASON ROBERT KONOPACK (M.D.) as active.
What type of care does DR. JASON ROBERT KONOPACK (M.D.) provide?
DR. JASON ROBERT KONOPACK (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JASON ROBERT KONOPACK (M.D.)?
DR. JASON ROBERT KONOPACK (M.D.) shows a connection to Gainesville, Florida in registry-derived data.
Why is information missing for DR. JASON ROBERT KONOPACK (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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