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TOM WONNEBERGER PA-C
NPI 1639709199
Physician Assistant in Jacksonville, FL

Active since January 23, 2020PECOS Enrolled
89.55/100
CMS Quality Rating
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204(904) 308-7300 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tom Wonneberger Pa-c NPPES

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

TOM WONNEBERGER PA-C (NPI 1639709199) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9112928) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639709199
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTOM WONNEBERGERCredential: PA-C
Location Address1 SHIRCLIFF WAYJacksonville, FL 32204-4748
Mailing Address2149 Walnut Creek Ct NJacksonville, FL 32246-5105 · (904) 651-6346
Phone(904) 308-7300
Sole ProprietorNo
Enumeration DateJanuary 23, 2020
✔ NPI 1639709199 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 · PA9112928
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.
1 SHIRCLIFF WAY, Jacksonville, FL 32204
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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)

Tom Wonneberger Pa-c 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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
89 services88 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
60 services58 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services32 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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.

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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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.

COMPREHENSIVE CARE PARTNERS LLC
Surgery
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (352) 250-2650
DR. SARAH ANNE PISCITELLO CRNA
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 477-5855
MRS. JENNIFER ANNE ALLEN NP
Nurse Practitioner (Critical Care Medicine)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
MAX T BILLINGSLEY MD
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32204
Duval County (904) 346-5426
TABITHA JAY BARRETT CRNA
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (954) 939-5216
PAUL D LUCEY MD
Emergency Medicine
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
WILBUR L AUGENSTEIN MD
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
CHANEL WOOD MD
Radiology (Diagnostic Radiology)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300

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 Tom Wonneberger's NPI number?

The NPI number for Tom Wonneberger is 1639709199. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Where is Tom Wonneberger located?

Tom Wonneberger practices at 1 Shircliff Way, Jacksonville, FL 32204. The listed phone number is (904) 308-7300.

What is Tom Wonneberger's specialty?

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

Is Tom Wonneberger enrolled in Medicare?

Yes. Tom Wonneberger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tom Wonneberger was last updated on January 23, 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.