DR. JACK B DAVIDOFF MD
NPI 1972519932
Family Medicine in Lakeland, FL

Q: What is Jack Davidoff's NPI number?

The NPI number for Jack Davidoff is 1972519932. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Jack Davidoff's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Davidoff was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment

2300 E COUNTY ROAD 540A, LAKELAND, FL 33813(863) 680-7190(866) 264-8519 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2023, Jul 25, 2022, Nov 10, 2021 (3 updates tracked since 2021).

On this page

About Dr. Jack B Davidoff Md NPPES

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

DR. JACK B DAVIDOFF MD (NPI 1972519932) is an individual family medicine provider in Lakeland, Florida, licensed in Florida (ME116103) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Poinciana Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1972519932

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JACK B DAVIDOFFCredential: MD

Location Address2300 E COUNTY ROAD 540ALakeland, FL 33813-3825

Mailing Address117 Palm PlHaines City, FL 33844-5813

Phone(863) 680-7190

Fax(866) 264-8519

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateJuly 31, 2006

Last NPPES UpdateDecember 22, 20233 updates tracked since enumeration

NPPES CertifiedDecember 22, 2023

✔ NPI 1972519932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME116103

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2300 E COUNTY ROAD 540A, Lakeland, FL 33813

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Wellpoint.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

Dr. Jack B Davidoff Md 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 ID8123912532

PECOS Enrollment IDI20151207002797

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 2

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 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.

53 services49 patients

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.

24 services23 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Poinciana Hospital

Acute Care Hospitals · Kissimmee, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100320

Location325 Cypress PkwyKissimmee, FL 34758 · Osceola County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33813 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

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$215.65 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.

STEPHEN LAGOR DPT

Physical Therapist