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DR. JONATHAN WIDEROFF M.D.
NPI 1215925367
Surgery in Boca Raton, FL

Active since October 12, 2005PECOS Enrolled
78.1/100
CMS Quality Rating
1601 CLINT MOORE RD STE 145, BOCA RATON, FL 33487(561) 288-2537(561) 939-5460 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jonathan Wideroff M.d. NPPES

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

DR. JONATHAN WIDEROFF M.D. (NPI 1215925367) is an individual surgery provider in Boca Raton, Florida, licensed in Florida (ME35997) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215925367
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JONATHAN WIDEROFFCredential: M.D.
Location Address1601 CLINT MOORE RD STE 145Boca Raton, FL 33487-5720
Mailing Address1601 Clint Moore Rd, Suite 145Boca Raton, FL 33487-2768 · (561) 939-0455 · Fax (561) 939-5460
Phone(561) 288-2537
Fax(561) 939-5460
Sole ProprietorYes
Enumeration DateOctober 12, 2005
Last NPPES UpdateSeptember 24, 2020
NPPES CertifiedSeptember 24, 2020
✔ NPI 1215925367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME35997
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSpecialistTaxonomy 174400000X · License ME35997 (FL)
1601 CLINT MOORE RD STE 145, Boca Raton, FL 33487
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Wideroff M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Wideroff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tenet Florida Physician Services, LLC
22 mi
Physical Therapist
1411 N FLAGLER DR, SUITE 8000
West Palm Beach, FL 33401
  • Reassigned Medicare billing, Florida enrollment
  • 528 clinicians in this Medicare group
NPI 1699111211 (561) 650-6231

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33487 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.93
Promoting Interoperability100
Improvement Activities40
Cost54.54

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,390 patients4/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
63%72 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
69%809 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

JILLIAN FRIEDER MD
Dermatology
1601 CLINT MOORE RD STE 145
BOCA RATON, FL 33487
Palm Beach County (561) 372-9158
SAMANTHA CHAMPION
Physician Assistant (Medical)
1601 CLINT MOORE RD STE 145
BOCA RATON, FL 33487
Palm Beach County (561) 210-7319
JILLIAN H FRIEDER MD DERMATOLOGY PLLC
Dermatology
1601 CLINT MOORE RD STE 145
BOCA RATON, FL 33487
Palm Beach County (561) 372-9158

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 Jonathan Wideroff's NPI number?

The NPI number for Jonathan Wideroff is 1215925367. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Jonathan Wideroff located?

Jonathan Wideroff practices at 1601 Clint Moore Rd Ste 145, Boca Raton, FL 33487. The listed phone number is (561) 288-2537.

What is Jonathan Wideroff's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jonathan Wideroff enrolled in Medicare?

Yes. Jonathan Wideroff is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Wideroff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Wideroff reassigns Medicare benefits to Tenet Florida Physician Services, LLC (West Palm Beach, FL). The 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 Jonathan Wideroff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Wideroff was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.