DR. JIA XU – Anatomic Pathology & Clinical Pathology Physician, NPI 1477971513

DR. JIA XU is a healthcare provider. based in Gainesville, Florida. specializing in PATHOLOGY. They hold a License No. 76875-20 (WI). The NPI Number for DR. JIA XU is 1477971513

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. JIA XU
NPI
1477971513
Phone
(352) 328-5061
Address
3930 SW 20TH AVE APT 1901
Enumeration Date
5 April 2014
Last Update Date
20 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
4149615362
Graduation Year
2014 (12 years ago)
PAC ID
8123357266
Group Practice PAC ID
7113986563
Professional Enrollment ID
I20220629002567
Address ID
WI532114508MI2323XDRXX400

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

960 PATHOLOGY in FL

Provider Addresses for DR. JIA XU

  • 3930 SW 20TH AVE APT 1901

    GAINESVILLE, FL 326074441

    Phone: (352) 328-5061

    Type: Mailing

  • 2323 N LAKE DR

    MILWAUKEE, WI 532114508

    Phone: (414) 961-5362

    Type: Mailing

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 $617.

Total Amount is formed as General ($617) + Research ($0) + Ownership ($0) = $617.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Alcon Vision LLC ($617).

Total Amount

$617

General + Research + Ownership

Payments

4

Total payment records

General Amount

$617

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$617
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: 2022-06-29

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
I20220629002567IPathologyWITBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity605422$0
88312Special stained specimen slides to identify organisms including interpretation and report6748$0
88342Special stained specimen slides to examine tissue, initial procedure4842$0
88304Pathology examination of tissue using a microscope, moderately low complexity3933$0
88341Special stained specimen slides to examine tissue, each additional procedure3219$0
View full utilization report →

Insurance plans in this area (ZIP 32607)

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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: 7113986563View full group profile
NameSpecialtyState
P A T H O L O G YIL
P A T H O L O G YTN
P A T H O L O G YVA
P A T H O L O G YWI
P A T H O L O G YWI
P A T H O L O G YWI
P A T H O L O G YWI
P A T H O L O G YMD
P A T H O L O G YIL
P A T H O L O G YWI

Reviews

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Frequently asked questions

Can I cross-check DR. JIA XU using NPI 1477971513?
NPI 1477971513 belongs to DR. JIA XU; compare other details if you need extra assurance.
Is DR. JIA XU still an active registrant?
DR. JIA XU carries an active NPI according to the public dataset.
What clinical focus is listed for DR. JIA XU?
At a glance, DR. JIA XU is tied to Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is DR. JIA XU located near Gainesville?
DR. JIA XU currently maps to Gainesville, Florida in this extract.
Does DR. JIA XU accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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