1. Home
  2. Directory
  3. Florida
  4. Dunedin
  5. Physician Assistant
  6. NPI Profile

THERON D HAWKINS PAC
NPI 1851345201
Physician Assistant - Medical in Dunedin, FL

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
703 VIRGINIA ST, DUNEDIN, FL 34698(727) 734-4000(727) 734-4454 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theron D Hawkins Pac NPPES

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

THERON D HAWKINS PAC (NPI 1851345201) is an individual medical provider in Dunedin, Florida, licensed in Florida (PA 9101296) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1851345201
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTHERON D HAWKINSCredential: PAC
Location Address703 VIRGINIA STDunedin, FL 34698-6615
Mailing Address703 Virginia StDunedin, FL 34698-6615 · (727) 734-4000 · Fax (727) 734-4454
Phone(727) 734-4000
Fax(727) 734-4454
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 20, 2006
Last NPPES UpdateJanuary 29, 2013
✔ NPI 1851345201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA 9101296
703 VIRGINIA ST, Dunedin, FL 34698
Open in Google Maps ↗

Other Identifiers 3

Medicare PINE6744P
OtherY00YEFL · Bcbs
Medicare UPINP48311

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health.Insurance ›

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

Theron D Hawkins Pac 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 ID1153393798
PECOS Enrollment IDI20251029001873
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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,458 services204 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
915 services206 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
113 services113 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
80 services79 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
34 services34 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
15 services15 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier32 claims1,860 services$7.11 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier42 claims1,650 services$0.92 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
1 supplier21 claims760 services$2.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SUSAN D RIVERA FNP-BC
Nurse Practitioner (Adult Health)
703 VIRGINIA ST
DUNEDIN, FL 34698
Pinellas County (727) 734-4000
KATHERINE D DELLANGELO ARNP
Clinical Nurse Specialist (Family Health)
703 VIRGINIA ST
DUNEDIN, FL 34698
Pinellas County (727) 734-4000
MS. JANE MADELINE SCHIRRIPA ARNP
Nurse Practitioner
703 VIRGINIA ST
DUNEDIN, FL 34698
Pinellas County (727) 734-4000
MR. SHAWN A REED ARNP
Nurse Practitioner (Family)
703 VIRGINIA ST
DUNEDIN, FL 34698
Pinellas County (727) 734-4000
GLORIA IVONNE SANTIAGO ROMERO
Nurse Practitioner (Family)
703 VIRGINIA ST
DUNEDIN, FL 34698
Pinellas County (727) 734-4000
V.J. DILELLA, D.O., L.L.C.
Family Medicine
703 VIRGINIA ST
DUNEDIN, FL 34698
Pinellas County (727) 734-4000
LEAH YANG FAUCETT PA
Physician Assistant (Medical)
703 VIRGINIA ST
DUNEDIN, FL 34698
Pinellas County (727) 734-4000
MR. CHRISTOPHER P KELLY PA
Physician Assistant
703 VIRGINIA ST
DUNEDIN, FL 34698
Pinellas County (727) 734-4000

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 Theron Hawkins's NPI number?

The NPI number for Theron Hawkins is 1851345201. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Theron Hawkins located?

Theron Hawkins practices at 703 Virginia St, Dunedin, FL 34698. The listed phone number is (727) 734-4000.

What is Theron Hawkins's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Theron Hawkins enrolled in Medicare?

Yes. Theron Hawkins 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.

What insurance does Theron Hawkins accept?

Health plans from Ambetter Health and Ambetter from Superior HealthPlan list Theron Hawkins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theron Hawkins was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.