MR. RALPH DAVID PRIDDY PA-C
NPI 1497021059
Physician Assistant in St Augustine, FL

Active since March 28, 2012PECOS EnrolledAccepts Medicare Assignment
2305 STATE ROAD 207, ST AUGUSTINE, FL 32086(904) 827-8610 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ralph David Priddy Pa-c NPPES

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

MR. RALPH DAVID PRIDDY PA-C (NPI 1497021059) is an individual physician assistant in St Augustine, Florida, licensed in Florida (PA9106486) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1497021059
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RALPH DAVID PRIDDYCredential: PA-C
Location Address2305 STATE ROAD 207St Augustine, FL 32086-9329
Mailing Address3612 Citara CtSt Augustine, FL 32092-4779 · (904) 814-6703
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 28, 2012
NPI 1497021059 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 FL · PA9106486
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.
2305 STATE ROAD 207, St Augustine, FL 32086

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

Mr. Ralph David Priddy 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 ID4385860956
PECOS Enrollment IDI20140717001717
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services29 patients

Hospital Affiliations CMS Care Compare

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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.

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 Ralph Priddy's NPI number?

The NPI number for Ralph Priddy is 1497021059. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Where is Ralph Priddy located?

Ralph Priddy practices at 2305 State Road 207, St Augustine, FL 32086. The listed phone number is (904) 827-8610.

What is Ralph Priddy's specialty?

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

Is Ralph Priddy enrolled in Medicare?

Yes. Ralph Priddy 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.

Is Ralph Priddy affiliated with any hospitals?

According to CMS data, Ralph Priddy is affiliated with Flagler Hospital.

When was this NPI record last updated?

The NPPES record for Ralph Priddy was last updated on March 28, 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.