JONATHAN DAVID XAVIER (PA-C) – Physician Assistant, NPI 1861802605

JONATHAN DAVID XAVIER (PA-C) is a healthcare provider. based in Temple terrace, Florida. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA 9107872 (FL). The NPI Number for JONATHAN DAVID XAVIER (PA-C) is 1861802605

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN DAVID XAVIER (PA-C)
NPI
1861802605
Phone
(813) 972-4199
Address
12479 TELECOM DR
Enumeration Date
1 May 2014
Last Update Date
12 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8138704000
Graduation Year
2014 (12 years ago)
PAC ID
9335363811
Group Practice PAC ID
3779872627
Professional Enrollment ID
I20140624002172
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for JONATHAN DAVID XAVIER (PA-C)

  • 12479 TELECOM DR

    TEMPLE TERRACE, FL 336370913

    Phone: (813) 972-4199

    Fax: (813) 972-5753

    Type: Mailing

  • 3100 E FLETCHER AVE

    TAMPA, FL 336134613

    Phone: (813) 971-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $357.

Total Amount is formed as General ($357) + Research ($0) + Ownership ($0) = $357.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Inari Medical, Inc. ($135).

Total Amount

$357

General + Research + Ownership

Payments

3

Total payment records

General Amount

$357

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-06-24

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
I20140624002172IPhysician 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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2222$0
View full utilization report →

Insurance plans in this area (ZIP 33637)

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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: 3779872627View full group profile

Reviews

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Frequently asked questions

How is JONATHAN DAVID XAVIER (PA-C) identified in CMS data?
CMS-hosted NPPES data lists JONATHAN DAVID XAVIER (PA-C) with NPI 1861802605.
Can I rely on JONATHAN DAVID XAVIER (PA-C) being an active provider?
As of the registry snapshot, JONATHAN DAVID XAVIER (PA-C) is marked active.
What healthcare role does JONATHAN DAVID XAVIER (PA-C) hold?
Scheduling teams often label JONATHAN DAVID XAVIER (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is JONATHAN DAVID XAVIER (PA-C) based?
JONATHAN DAVID XAVIER (PA-C) is tied to Temple Terrace, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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