JIMMY RAFAEL CARRILLO (PA-C) – Medical Physician Assistant, NPI 1285910778
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for JIMMY RAFAEL CARRILLO (PA-C)
3269 HIGHWAY 90
BONIFAY, FL 324256001
Phone: (850) 547-9991
Fax: (850) 547-9992
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 2 Open Payments records for all available years, with a total value of $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2023-06-09 • Largest payer in this snapshot: ABBVIE INC. ($37).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $37 |
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: 2025-10-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120131000392 | I | Physician Assistant | FL | TBD |
| I20251022003243 | I | Physician Assistant | AL | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 131 | 113 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 110 | 91 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 63 | 57 | $0 |
Insurance plans in this area (ZIP 32425)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | AL | |
| General Surgery | AL | |
| Nurse Practitioner | AL | |
| Family Practice, Emergency Medicine | FL | |
| Internal Medicine, Emergency Medicine | AL | |
| Hospitalist, Internal Medicine | AL | |
| Emergency Medicine | GA |
Reviews
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