ANTHONY JOHN JIMENEZ (PA-C) – Surgical Physician Assistant, NPI 1568426906
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ANTHONY JOHN JIMENEZ (PA-C)
South Kings Avenue, Brandon, Hillsborough County, Florida, 33511, United States
STE 201
BRANDON, FL 335115962
Phone: (813) 872-4492
Fax: (813) 490-9635
Type: Mailing
201, South Kings Avenue, Brandon, Hillsborough County, Florida, 33511, United States
BRANDON, FL 335115962
Phone: (813) 872-4992
Fax: (813) 864-4030
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 $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2023-06-23 • Largest payer in this snapshot: Boston Scientific Corporation ($43).
Total Amount
$43
General + Research + Ownership
Payments
2
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $43 |
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: 2004-07-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040714000915 | I | Physician Assistant | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 82 | 67 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 21 | $0 |
Insurance plans in this area (ZIP 33511)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Interventional Pain Management, Anesthesiology | FL | |
| Nurse Practitioner | FL |
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