DR. DAVID MICHAEL HARDIN (MD) – Surgery Physician, NPI 1639174907

DR. DAVID MICHAEL HARDIN (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. A82975 (CA). The NPI Number for DR. DAVID MICHAEL HARDIN (MD) is 1639174907

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID MICHAEL HARDIN (MD)
NPI
1639174907
Phone
(904) 446-3451
Address
5220 BELFORT RD
Enumeration Date
14 June 2005
Last Update Date
16 January 2015

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
3037785242
Graduation Year
1998 (28 years ago)
PAC ID
8527118785
Group Practice PAC ID
4183941834
Professional Enrollment ID
I20150318002011
Address ID
CO802107008DE990XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

756 GENERAL SURGERY in CO

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Provider Addresses for DR. DAVID MICHAEL HARDIN (MD)

  • Kelly Service, 5220, Belfort Road, Jacksonville, Duval County, Florida, 32256, United States

    STE 130

    JACKSONVILLE, FL 322566017

    Phone: (904) 446-3451

    Fax: (904) 446-3013

    Type: Mailing

  • Sierra Medical Building, 9399, Crown Crest Boulevard, Parker, Douglas County, Colorado, 80138, United States

    SUITE 430

    PARKER, CO 801388506

    Phone: (303) 269-2310

    Fax: (904) 446-3013

    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: 2024-04-10 • Largest payer in this snapshot: Nevro Corp. ($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

2024-04-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Nevro Corp.$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: 2015-03-18

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
I20150318002011IGeneral SurgeryCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32256)

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Provider's Procedures

DR. DAVID MICHAEL HARDIN (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYCO11042Removal of skin and tissue first 20 sq cm or less1291216
GENERAL SURGERYCO93922Ultrasound study of arteries of both arms and legs5656

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: 4183941834View full group profile
NameSpecialtyState
Emergency MedicineID
Nurse PractitionerCO
Nurse PractitionerCO
-CO
-CO
Emergency MedicineCO
Family PracticeCO
Family PracticeCO
-CO
Emergency MedicineNY

Reviews

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Frequently asked questions

Does DR. DAVID MICHAEL HARDIN (MD) have a public NPI I can cite?
Public records show DR. DAVID MICHAEL HARDIN (MD) under NPI 1639174907.
Should I treat DR. DAVID MICHAEL HARDIN (MD) as an active provider?
Patients and plans typically see DR. DAVID MICHAEL HARDIN (MD) as active in the national extract.
What services align with DR. DAVID MICHAEL HARDIN (MD)'s listing?
DR. DAVID MICHAEL HARDIN (MD)'s public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. DAVID MICHAEL HARDIN (MD) tied to Jacksonville, Florida?
If you are local to Jacksonville, Florida, DR. DAVID MICHAEL HARDIN (MD) may be relevant to your search.
Who maintains DR. DAVID MICHAEL HARDIN (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.