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JACK KOBURGER PA-C
NPI 1538057153
Physician Assistant in Cape Coral, FL

Active since June 24, 2025PECOS EnrolledAccepts Medicare Assignment
636 DEL PRADO BLVD S, CAPE CORAL, FL 33990(239) 424-3513 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Koburger Pa-c NPPES

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

JACK KOBURGER PA-C (NPI 1538057153) is an individual physician assistant in Cape Coral, Florida, licensed in Florida (PA9120347) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1538057153
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACK KOBURGERCredential: PA-C
Location Address636 DEL PRADO BLVD SCape Coral, FL 33990-2668
Mailing Address6796 Smokerise DrMacclenny, FL 32063-5256 · (904) 312-2297
Phone(239) 424-3513
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 24, 2025
NPPES CertifiedJune 24, 2025
✔ NPI 1538057153 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 · PA9120347
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.
636 DEL PRADO BLVD S, Cape Coral, FL 33990
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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 and accepts Medicare assignment

Jack Koburger 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 ID6507355229
PECOS Enrollment IDI20251031000994
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 33990 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.

Other Providers at the Same Location NPPES 20

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

THOMAS HOFMANN LCSW CEAP CPP
Counselor (Mental Health)
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Lee County (239) 343-9180
DR. JOSEPH ZWILLENBERG MD
Student in an Organized Health Care Education/Training Program
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Lee County (215) 290-4162
PATRICK DUMITRESCU MD
Student in an Organized Health Care Education/Training Program
636 DEL PRADO BLVD S, LEE HEALTH-CAPE CORAL HOSPITAL
CAPE CORAL, FL 33990
Lee County (239) 424-1655
TUCKER GREENE
Emergency Medicine
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Lee County (239) 772-6513
MARILYN JEAN FISHER CRNA
Nurse Anesthetist, Certified Registered
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Lee County (239) 424-2000
AYBIKE ATAK SEKERCI
Student in an Organized Health Care Education/Training Program
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Lee County (239) 424-3161
KRISTEN JEANINE NEARING PA
Physician Assistant
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Lee County (239) 424-3513
MR. ALEXANDER GREGORY WAELCHLI PA
Physician Assistant
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Lee County (239) 424-2000

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 Jack Koburger's NPI number?

The NPI number for Jack Koburger is 1538057153. It was assigned to this individual provider in the NPPES registry on June 24, 2025.

Where is Jack Koburger located?

Jack Koburger practices at 636 Del Prado Blvd S, Cape Coral, FL 33990. The listed phone number is (239) 424-3513.

What is Jack Koburger's specialty?

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

Is Jack Koburger enrolled in Medicare?

Yes. Jack Koburger 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.

When was this NPI record last updated?

The NPPES record for Jack Koburger was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.