MR. JONATHAN DAVID NEEDLER (PA-C) – Surgical Physician Assistant, NPI 1912155490

MR. JONATHAN DAVID NEEDLER (PA-C) is a healthcare provider. based in Destin, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA1912155490 (FL). The NPI Number for MR. JONATHAN DAVID NEEDLER (PA-C) is 1912155490

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MR. JONATHAN DAVID NEEDLER (PA-C)
NPI
1912155490
Phone
(850) 460-2350
Address
155 CRYSTAL BEACH DR
Enumeration Date
8 September 2008
Last Update Date
23 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8508125243
Graduation Year
2008 (18 years ago)
PAC ID
9830253483
Group Practice PAC ID
2769381391
Professional Enrollment ID
I20090127000583
Address ID
FL324597194SA141XXLOOP402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MR. JONATHAN DAVID NEEDLER (PA-C)

  • 155, Crystal Beach Drive, Destin, Okaloosa County, Florida, 32541, United States

    STE 200

    DESTIN, FL 325413588

    Phone: (850) 460-2350

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $3,700.

Total Amount is formed as General ($3,700) + Research ($0) + Ownership ($0) = $3,700.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($1,804).

Total Amount

$3,700

General + Research + Ownership

Payments

70

Total payment records

General Amount

$3,700

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

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: 2009-01-27

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
I20090127000583IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes162148$0
99213Established patient office or other outpatient visit, 20-29 minutes156145$0
69210Removal of impacted ear wax8987$0
99203New patient office or other outpatient visit, 30-44 minutes7676$0
31231Diagnostic exam of nasal passages using an endoscope6361$0
View full utilization report →

Insurance plans in this area (ZIP 32541)

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Provider's Procedures

MR. JONATHAN DAVID NEEDLER (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL63048Partial removal of spine bone with release of spinal cord and/or nerves2714

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: 2769381391View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YPA
Otolaryngology, General SurgeryFL
O T O L A R Y N G O L O G YKY
General Surgery, Critical Care (Intensivists)FL
Orthopedic SurgeryFL
Otolaryngology, Sleep MedicineFL
General SurgeryFL
General SurgeryFL
O P H T H A L M O L O G YFL
Pain ManagementFL

Reviews

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Frequently asked questions

Does MR. JONATHAN DAVID NEEDLER (PA-C) have a public NPI I can cite?
Public records show MR. JONATHAN DAVID NEEDLER (PA-C) under NPI 1912155490.
Is MR. JONATHAN DAVID NEEDLER (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MR. JONATHAN DAVID NEEDLER (PA-C) as active.
Which specialty label fits MR. JONATHAN DAVID NEEDLER (PA-C)?
NPPES ties MR. JONATHAN DAVID NEEDLER (PA-C) to Surgical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MR. JONATHAN DAVID NEEDLER (PA-C) tied to Destin, Florida?
If you are local to Destin, Florida, MR. JONATHAN DAVID NEEDLER (PA-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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