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KENNETH PAUL BOCCACCIO PA-C
NPI 1194751255
Physician Assistant in Tampa, FL

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
12880 COMMODITY PLACE, TAMPA, FL 33626(813) 343-5500(813) 343-5506 Get Directions Write a Review

NPPES record last updated: January 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Paul Boccaccio Pa-c NPPES

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

KENNETH PAUL BOCCACCIO PA-C (NPI 1194751255) is an individual physician assistant in Tampa, Florida, licensed in North Carolina (102296) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1194751255
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNETH PAUL BOCCACCIOCredential: PA-C
Location Address12880 COMMODITY PLACETampa, FL 33626-3101
Mailing AddressPo Box 21724Tampa, FL 33622-1724 · (813) 343-5500 · Fax (813) 343-5506
Phone(813) 343-5500
Fax(813) 343-5506
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJune 23, 2006
Last NPPES UpdateJanuary 3, 2012
✔ NPI 1194751255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 102296
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12880 COMMODITY PLACE, Tampa, FL 33626
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Other Identifiers 1

Medicare PIN2762629NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Kenneth Paul Boccaccio Pa-c 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 ID8729269220
PECOS Enrollment IDI20110216000553
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.

Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
21 services21 patients
Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope 43282
This procedure fixes a hernia, a bulge or tear, in the muscle where the esophagus meets the stomach. Using an endoscope, a thin tube with a camera, a mesh is implanted to strengthen the area and prevent future hernias.
16 services16 patients
Repair of hernia of muscle at esophagus and stomach using an endoscope 43281
This procedure fixes a hernia, an area where your stomach and esophagus muscles have weakened. Using an endoscope, a thin tube with a camera, the doctor can see and repair the hernia without large incisions, promoting quicker recovery.
12 services12 patients
Exam of lung with removal of lung lobe using an endoscope 32663
This is a procedure where an endoscope, a thin tube with a light and camera, is used to examine the lung and remove a lobe if necessary. It's less invasive than traditional surgery, resulting in shorter recovery time.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 4

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

INTRALIGN FL LLC
Physician Assistant (Surgical)
12880 COMMODITY PLACE
TAMPA, FL 33626
Hillsborough County (813) 343-5500
INTRALIGN FL LLC
Surgery
12880 COMMODITY PLACE
TAMPA, FL 33626
Hillsborough County (813) 343-5500
INTRALIGN FL LLC
Surgery
12880 COMMODITY PLACE
TAMPA, FL 33626
Hillsborough County (813) 343-5500
JULIE ELIZABETH ROESER P.A.
Physician Assistant (Medical)
12880 COMMODITY PLACE
TAMPA, FL 33626
Hillsborough County (813) 343-5500

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 Kenneth Boccaccio's NPI number?

The NPI number for Kenneth Boccaccio is 1194751255. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Kenneth Boccaccio located?

Kenneth Boccaccio practices at 12880 Commodity Place, Tampa, FL 33626. The listed phone number is (813) 343-5500.

What is Kenneth Boccaccio's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kenneth Boccaccio enrolled in Medicare?

Yes. Kenneth Boccaccio 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 Kenneth Boccaccio accept?

Health plans from Blue Cross and Blue Shield of NC list Kenneth Boccaccio 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 Kenneth Boccaccio affiliated with any hospitals?

According to CMS data, Kenneth Boccaccio is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Boccaccio was last updated on January 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.