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

JUSTIN STUART SKIDMORE PA-C
NPI 1073054862
Physician Assistant - Surgical in Tampa, FL

Active since March 14, 2017PECOS Enrolled
3403 E KNOLLWOOD ST, TAMPA, FL 33610(863) 267-4104 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 18, 2026, Mar 30, 2017, Mar 14, 2017 (3 updates tracked since 2017).

About Justin Stuart Skidmore Pa-c NPPES

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

JUSTIN STUART SKIDMORE PA-C (NPI 1073054862) is an individual surgical provider in Tampa, Florida, licensed in Florida (PA9110082) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1073054862
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJUSTIN STUART SKIDMORECredential: PA-C
Location Address3403 E KNOLLWOOD STTampa, FL 33610-1550
Mailing Address3403 E Knollwood StTampa, FL 33610-1550 · (863) 267-4104
Phone(863) 267-4104
Sole ProprietorYes
Enumeration DateMarch 14, 2017
Last NPPES UpdateSeptember 18, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1073054862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA9110082
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9110082 (FL)
3403 E KNOLLWOOD ST, Tampa, FL 33610
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12352 Bruce B Downs Blvd Ste 102Wesley Chapel, FL 33544-9203 · Phone (813) 979-0440
Location 214547 Bruce B Downs Blvd Ste CTampa, FL 33613-2709 · Phone (813) 979-0440
Location 338107 Market Square DrZephyrhills, FL 33542-7505 · Phone (813) 979-0440
Location 42020 Town Center Blvd Ste DBrandon, FL 33511-2906 · Phone (813) 979-0440

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Stuart Skidmore Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
104 services104 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
66 services66 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
35 services33 patients

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 Justin Skidmore's NPI number?

The NPI number for Justin Skidmore is 1073054862. It was assigned to this individual provider in the NPPES registry on March 14, 2017.

Where is Justin Skidmore located?

Justin Skidmore practices at 3403 E Knollwood St, Tampa, FL 33610. The listed phone number is (863) 267-4104.

What is Justin Skidmore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Justin Skidmore enrolled in Medicare?

Yes. Justin Skidmore is registered in the Medicare PECOS enrollment system.

What insurance does Justin Skidmore accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Justin Skidmore 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.

When was this NPI record last updated?

The NPPES record for Justin Skidmore was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.