Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ALEXANDER CZORNOBIL PA-C
NPI 1801717640
Physician Assistant in Daytona Beach, FL

Q: What is Alexander Czornobil's NPI number?

The NPI number for Alexander Czornobil is 1801717640. It was assigned to this individual provider in the NPPES registry on July 24, 2026.

Q: What is Alexander Czornobil's specialty?

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

Active since July 24, 2026PECOS Enrolled

1865 LPGA BLVD, DAYTONA BEACH, FL 32117(386) 255-4596(386) 258-3561 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, Jul 24, 2026 (2 updates tracked since 2026).

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About Alexander Czornobil Pa-c NPPES

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

ALEXANDER CZORNOBIL PA-C (NPI 1801717640) is an individual physician assistant in Daytona Beach, Florida, licensed in Florida (PA9122035) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801717640

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameALEXANDER CZORNOBILCredential: PA-C

Location Address1865 LPGA BLVDDaytona Beach, FL 32117-7108

Mailing Address1865 Lpga BlvdDaytona Beach, FL 32117-7108 · (386) 255-4596 · Fax (386) 258-3561

Phone(386) 255-4596

Fax(386) 258-3561

Sole ProprietorNo

Enumeration DateJuly 24, 2026

Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1801717640 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 · PA9122035

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.

1865 LPGA BLVD, Daytona Beach, FL 32117

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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)

Alexander Czornobil 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 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 20

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

BRENT WILKINS PA-C

Physician Assistant