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PANAMA CITY PLASTIC SURGERY LLC
NPI 1043398621
Surgery - Plastic and Reconstructive Surgery in Panama City, FL

Active since November 01, 2006
500 AIRPORT RD, PANAMA CITY, FL 32405(850) 769-7270(850) 769-7229 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Panama City Plastic Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PANAMA CITY PLASTIC SURGERY LLC (NPI 1043398621) is a healthcare organization registered as a plastic and reconstructive surgery in Panama City, Florida and active in the NPI registry since November 2006. The organization lists Christine Youngblood, Billing, as its authorized official.

NPPES Registry Identity

NPI1043398621
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NamePANAMA CITY PLASTIC SURGERY LLC
Location Address500 AIRPORT RDPanama City, FL 32405-4011
Mailing Address500 Airport RdPanama City, FL 32405-4011 · (850) 769-7270 · Fax (850) 769-7229
Phone(850) 769-7270
Fax(850) 769-7229
Organization SubpartNo
Authorized OfficialChristine YoungbloodBilling · (850) 769-7270
Enumeration DateNovember 1, 2006
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1043398621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in FL · ME67903
Definition
A surgeon who specializes in plastic and reconstructive surgery.
500 AIRPORT RD, Panama City, FL 32405
Open in Google Maps ↗

Other Identifiers 2

Other416430891FL · Tricare
Other27145FL · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Panama City Plastic Surgery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Panama City Plastic Surgery LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Raymond Mockler, M.D.
Plastic and Reconstructive Surgery
NPI 1053499624
500 AIRPORT RD
Panama City, FL 32405
(850) 769-7270
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Panama City Plastic Surgery LLC's NPI number?

The NPI number for Panama City Plastic Surgery LLC is 1043398621. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Panama City Plastic Surgery LLC located?

Panama City Plastic Surgery LLC is located at 500 Airport Rd, Panama City, FL 32405. The listed phone number is (850) 769-7270.

What is Panama City Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Panama City Plastic Surgery LLC enrolled in Medicare?

Yes. Panama City Plastic Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Panama City Plastic Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Panama City Plastic Surgery LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Panama City Plastic Surgery LLC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.