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DR. PAUL D. ZAWATSKY M.D.
NPI 1164431037
Family Medicine in Jacksonville, FL

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
11481 OLD SAINT AUGUSTINE RD STE 103, JACKSONVILLE, FL 32258(904) 260-8424(904) 341-4777 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Paul D. Zawatsky M.d. NPPES

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

DR. PAUL D. ZAWATSKY M.D. (NPI 1164431037) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME63004) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1164431037
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAUL D. ZAWATSKYCredential: M.D.
Location Address11481 OLD SAINT AUGUSTINE RD STE 103Jacksonville, FL 32258-1474
Mailing Address11481 Old Saint Augustine Rd Ste 103Jacksonville, FL 32258-1474 · (904) 260-8424 · Fax (904) 341-4777
Phone(904) 260-8424
Fax(904) 341-4777
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 7, 2006
Last NPPES UpdateMay 19, 2025
NPPES CertifiedMay 19, 2025
✔ NPI 1164431037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME63004
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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License ME63004 (FL)
11481 OLD SAINT AUGUSTINE RD STE 103, Jacksonville, FL 32258
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.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

Dr. Paul D. Zawatsky M.d. 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 ID6507023181
PECOS Enrollment IDI20120209000456
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 4

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.

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.
292 services99 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
228 services75 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
89 services89 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
80 services80 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32258 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

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

PAUL D. ZAWATSKY, MD, PA
Clinic/Center (Primary Care)
11481 OLD SAINT AUGUSTINE RD STE 103
JACKSONVILLE, FL 32258
Duval County (904) 260-8424

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 Paul Zawatsky's NPI number?

The NPI number for Paul Zawatsky is 1164431037. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Paul Zawatsky located?

Paul Zawatsky practices at 11481 Old Saint Augustine Rd Ste 103, Jacksonville, FL 32258. The listed phone number is (904) 260-8424.

What is Paul Zawatsky's specialty?

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

Is Paul Zawatsky enrolled in Medicare?

Yes. Paul Zawatsky 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 Paul Zawatsky accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Paul Zawatsky 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 Paul Zawatsky affiliated with any hospitals?

According to CMS data, Paul Zawatsky is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Paul Zawatsky was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.