IDAMIR CALDERON JACOBS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1760720767
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL
Provider Addresses for IDAMIR CALDERON JACOBS (CRNA)
1901 ULMERTON RD
SUITE 450
CLEARWATER, FL 337622300
Phone: (727) 573-7777
Fax: (727) 573-7710
Type: Mailing
3100 E FLETCHER AVE
TAMPA, FL 336134613
Phone: (813) 615-7294
Type: Location
3100 E Fletcher Ave
Tampa, FL 336134613
Phone: (813) 615-7294
Type: Location
38135 Market Square Dr Ste 115
Zephyrhills, FL 335427505
Phone: (813) 780-8266
Fax: (813) 355-5045
Type: Location
14547 Bruce B Downs Blvd
Tampa, FL 336132709
Phone: (813) 979-1494
Fax: (813) 355-5044
Type: Location
52 underwood st
orlando, FL 328061110
Phone: (813) 780-8266
Fax: (813) 355-5045
Type: Location
9320 US HIGHWAY 301 S
RIVERVIEW, FL 335786300
Phone: (813) 471-0000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $3,747.
Total Amount is formed as General ($3,747) + Research ($0) + Ownership ($0) = $3,747.
Last reported payment date: 2024-11-03 • Largest payer in this snapshot: Merz North America, Inc. ($3,216).
Total Amount
$3,747
General + Research + Ownership
Payments
47
Total payment records
General Amount
$3,747
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merz North America, Inc. | $3,216 |
| MERZ NORTH AMERICA, INC. | $464 |
| Vapotherm Inc | $23 |
| ABBVIE INC. | $23 |
| Galderma Laboratories, L.P. | $22 |
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: 2013-03-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130318000125 | I | Certified Registered Nurse Anesthetist (Crna) | 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 |
|---|---|---|---|---|
| 00812 | Anesthesia for exam of colon using an endoscope | 48 | 48 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 27 | 27 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 22 | 22 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 19 | 19 | $0 |
Insurance plans in this area (ZIP 33762)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Anesthesiology, Pain Management | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | FL |
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