DJORDJE JAGODIC PA - NPI 1366319667 - Physician Assistant in Jacksonville, FL

Q: What is Djordje Jagodic's NPI number?

The NPI number for Djordje Jagodic is 1366319667. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Q: What is Djordje Jagodic's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Djordje Jagodic was last updated on October 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Djordje Jagodic Pa NPPES

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

DJORDJE JAGODIC PA (NPI 1366319667) is an individual physician assistant in Jacksonville, Florida and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366319667

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDJORDJE JAGODICCredential: PA

Location Address8375 DIX ELLIS TRL STE 201Jacksonville, FL 32256-8241

Mailing Address8375 Dix Ellis Trl Ste 201Jacksonville, FL 32256-8241 · (904) 399-5550 · Fax (904) 346-4334

Phone(904) 399-5550

Fax(904) 346-4334

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 21, 2025

Last NPPES UpdateOctober 24, 2025

NPPES CertifiedOctober 21, 2025

✔ NPI 1366319667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

8375 DIX ELLIS TRL STE 201, Jacksonville, FL 32256

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Djordje Jagodic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850887225

PECOS Enrollment IDI20260106001618

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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 6

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

JAIME IBANEZ

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