J DAVID BARR (PAC) – Physician Assistant, NPI 1679511802

J DAVID BARR (PAC) is a healthcare provider. based in Lutz, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA9108698 (ZZ). The NPI Number for J DAVID BARR (PAC) is 1679511802

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
J DAVID BARR (PAC)
NPI
1679511802
Phone
(813) 459-7711
Address
18865 STATE ROAD 54 # 301
Enumeration Date
2 June 2006
Last Update Date
4 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7276985989
Graduation Year
2005 (21 years ago)
PAC ID
3779583513
Professional Enrollment ID
I20151019000898
Address ID
FL346380192LA16703AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for J DAVID BARR (PAC)

  • 18865 STATE ROAD 54 # 301

    LUTZ, FL 335588201

    Phone: (813) 459-7711

    Fax: (813) 235-4175

    Type: Mailing

  • 16734, Ivy Lake Drive, Odessa, Pasco County, Florida, 33556, United States

    ODESSA, FL 335566020

    Phone: (813) 459-7711

    Fax: (813) 235-4175

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-10-19

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
I20151019000898IPhysician 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
J1100Injection, dexamethasone sodium phosphate, 1 mg26819$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes4826$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes4831$0
20610Aspiration and/or injection of fluid from large joint3419$0
90662Influenza vaccine split virus, preservative free2626$0
View full utilization report →

Insurance plans in this area (ZIP 33558)

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Reviews

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Frequently asked questions

What federal number belongs to J DAVID BARR (PAC)?
The federal identifier for J DAVID BARR (PAC) is NPI 1679511802.
Is J DAVID BARR (PAC)'s NPI currently valid?
The extract we use shows J DAVID BARR (PAC) as active.
What kind of provider is J DAVID BARR (PAC)?
The page reflects Physician Assistant for J DAVID BARR (PAC). Clinical services aligned with this taxonomy classification.
What location shows for J DAVID BARR (PAC)?
We surface Lutz, Florida for J DAVID BARR (PAC) based on available NPPES addresses.
What if Lutz, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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