Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAKE BENNETT MD
NPI 1063093425
Family Medicine in Tampa, FL

Q: What is Jake Bennett's NPI number?

The NPI number for Jake Bennett is 1063093425. It was assigned to this individual provider in the NPPES registry on April 17, 2021.

Q: What is Jake Bennett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jake Bennett was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.

Active since April 17, 2021PECOS Enrolled

12780 RACE TRACK RD, TAMPA, FL 33626(813) 321-6262(813) 443-8150 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2026, Sep 27, 2024, Apr 17, 2021 (3 updates tracked since 2021).

On this page

About Jake Bennett Md NPPES

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

JAKE BENNETT MD (NPI 1063093425) is an individual family medicine provider in Tampa, Florida, licensed in Florida (ME159087) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Morton Plant Hospital, and is a graduate of University Of South Florida College Of Medicine (2021).

NPPES Registry Identity

NPI1063093425

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAKE BENNETTCredential: MD

Location Address12780 RACE TRACK RDTampa, FL 33626-1397

Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 532-0002

Phone(813) 321-6262

Fax(813) 443-8150

Sole ProprietorNo

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2021

Enumeration DateApril 17, 2021

Last NPPES UpdateAugust 3, 20263 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1063093425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME159087

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12780 RACE TRACK RD, Tampa, FL 33626

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jake Bennett Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729479118

PECOS Enrollment IDI20240930000822

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

29 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100127

Location300 Pinellas StClearwater, FL 33756 · Pinellas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33626 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALLORY WOOD LCSW

Social Worker (Clinical)

12780 RACE TRACK RD
TAMPA, FL 33626

Hillsborough County (813) 749-7800

DR. DALYS M GILLING M.D.

Pediatrics

12780 RACE TRACK RD, STE 205
TAMPA, FL 33626

Hillsborough County (813) 792-8878

DR. DEBORAH SUSAN WHITE M.D.

Internal Medicine

12780 RACE TRACK RD, STE 300
TAMPA, FL 33626

Hillsborough County (813) 792-9541

DR. RUTH DE GUZMAN HENSON MD

Internal Medicine

12780 RACE TRACK RD, SUITE 400
TAMPA, FL 33626

Hillsborough County (813) 321-6262

DR. AMY J ZUBER D.O.

Internal Medicine

12780 RACE TRACK RD, STE 300
TAMPA, FL 33626

Hillsborough County (813) 792-9541

CHOI, HANFF, MIRABELLO, SHIM AND TORKE MDS LLP

Orthopaedic Surgery

12780 RACE TRACK RD, SUITE 200 BAYCARE OUTPATIENT CENTER
TAMPA, FL 33626

Hillsborough County (727) 787-5577

DR. HUGO M JASIN MD

Pediatrics

12780 RACE TRACK RD, SUITE 205
TAMPA, FL 33626

Hillsborough County (813) 792-8878

ST JOSEPH'S DIAGNOSTIC CENTER LLC

Radiology (Diagnostic Radiology)

12780 RACE TRACK RD, SUITE 100
TAMPA, FL 33626

Hillsborough County (813) 749-7810

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 Jake Bennett's NPI number?

The NPI number for Jake Bennett is 1063093425. It was assigned to this individual provider in the NPPES registry on April 17, 2021.

Where is Jake Bennett located?

Jake Bennett practices at 12780 Race Track Rd, Tampa, FL 33626. The listed phone number is (813) 321-6262.

What is Jake Bennett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jake Bennett enrolled in Medicare?

Yes. Jake Bennett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jake Bennett accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Jake Bennett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jake Bennett affiliated with any hospitals?

According to CMS data, Jake Bennett is affiliated with Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Jake Bennett was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.