RONALD GAVILAN YODU (MD) – Family Medicine Physician, NPI 1235662487

RONALD GAVILAN YODU (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME150508 (FL). The NPI Number for RONALD GAVILAN YODU (MD) is 1235662487

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
RONALD GAVILAN YODU (MD)
NPI
1235662487
Phone
(904) 450-6063
Address
4205 BELFORT RD STE 4015
Enumeration Date
5 April 2017
Last Update Date
28 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504161575
Graduation Year
2002 (24 years ago)
PAC ID
2365772829
Group Practice PAC ID
3779491386
Professional Enrollment ID
I20220426001085
Address ID
FL325414713DE36500PKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for RONALD GAVILAN YODU (MD)

  • 4205 BELFORT RD STE 4015

    JACKSONVILLE, FL 322163623

    Phone: (904) 450-6063

    Fax: (904) 539-4091

    Type: Mailing

  • 361 GREENWAY TRAIL

    SANTA ROSA BEACH, FL 32459

    Phone: (850) 892-8015

    Type: Location

  • PO BOX 1559

    BAKERSFIELD, CA 933021559

    Phone: (661) 635-3050

    Fax: (661) 869-1503

    Type: Mailing

  • 36500 Emerald Coast Pkwy

    Destin, FL 325414713

    Phone: (850) 837-0032

    Fax: (850) 837-9257

    Type: Location

  • Niles Street, Kern, Bakersfield, Kern County, California, 93305, United States

    BAKERSFIELD, CA 933064922

    Phone: (661) 328-4284

    Fax: (661) 616-9977

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-08-01 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($107).

Total Amount

$122

General + Research + Ownership

Payments

2

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-01

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: 2022-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200602001635IFamily PracticeCATBD
I20220426001085IFamily 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
99214Established patient office or other outpatient visit, 30-39 minutes2621$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

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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: 3779491386View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does RONALD GAVILAN YODU (MD) have a public NPI I can cite?
Public records show RONALD GAVILAN YODU (MD) under NPI 1235662487.
Does the public listing show RONALD GAVILAN YODU (MD) as active?
RONALD GAVILAN YODU (MD)'s NPI record reflects an active status in NPPES.
What does the directory say RONALD GAVILAN YODU (MD) does?
Insurance directories may phrase it differently, but here RONALD GAVILAN YODU (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is RONALD GAVILAN YODU (MD) tied to Jacksonville, Florida?
If you are local to Jacksonville, Florida, RONALD GAVILAN YODU (MD) may be relevant to your search.
Who maintains RONALD GAVILAN YODU (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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