PAUL I AVIDON (PA) – Surgical Physician Assistant, NPI 1265417802

PAUL I AVIDON (PA) is a healthcare provider. based in Port st lucie, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA0001609 (FL). The NPI Number for PAUL I AVIDON (PA) is 1265417802

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
PAUL I AVIDON (PA)
NPI
1265417802
Phone
(772) 288-2400
Address
9401 SW Discovery Way
Enumeration Date
7 December 2005
Last Update Date
26 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
3779618657
Group Practice PAC ID
6406838895
Professional Enrollment ID
I20100317000463
Address ID
FL349944512ST1050XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for PAUL I AVIDON (PA)

  • 9401 SW Discovery Way

    Port St Lucie, FL 349872376

    Phone: (772) 288-2400

    Type: Location

  • 900 Village Square Xing Ste 170

    Palm Beach Gardens, FL 334104549

    Phone: (772) 288-2400

    Type: Location

  • 1050, Southeast Monterey Road, Stuart, Martin County, Florida, 34994, United States

    SUITE 400

    STUART, FL 349944512

    Phone: (772) 288-2400

    Fax: (772) 419-0143

    Type: Mailing

  • 400, Southeast Monterey Road, Stuart, Martin County, Florida, 34994, United States

    STUART, FL 349944512

    Phone: (772) 288-2400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-02-15 • Largest payer in this snapshot: SI-BONE, INC. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SI-BONE, INC.$22
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: 2010-03-17

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
I20100317000463IPhysician AssistantFLTBD

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
J1030Injection, methylprednisolone acetate, 40 mg5831$0
99214Established patient office or other outpatient visit, 30-39 minutes5757$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment5741$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment5150$0
20610Aspiration and/or injection of fluid from large joint4441$0
View full utilization report →

Insurance plans in this area (ZIP 34987)

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Provider's Procedures

PAUL I AVIDON (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL63048Partial removal of spine bone with release of spinal cord and/or nerves7650

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: 6406838895View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Nurse PractitionerTN
Physician AssistantFL
Physician AssistantFL
Physical Therapist In Private PracticeFL
Physician AssistantNY
Physical Therapist In Private PracticeFL
-FL
Physical Medicine And RehabilitationFL
Physical Medicine And RehabilitationFL

Reviews

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Frequently asked questions

How is PAUL I AVIDON (PA) identified in CMS data?
CMS-hosted NPPES data lists PAUL I AVIDON (PA) with NPI 1265417802.
Does the file indicate PAUL I AVIDON (PA) is practicing under active NPI?
Directory data currently reports PAUL I AVIDON (PA) as active.
What is PAUL I AVIDON (PA) best known for clinically?
Directory data describes PAUL I AVIDON (PA) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is PAUL I AVIDON (PA) based?
PAUL I AVIDON (PA) is tied to Port St Lucie, Florida in the data we show; additional addresses may exist on the full record.
Why does PAUL I AVIDON (PA) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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