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

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: November 01, 2026.

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

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 Orlando Health-health Central 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Jack Davidoff reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
200 AVENUE F NE
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 1,065 clinicians in this Medicare group
Emergency Medicine
1414 S ORANGE AVE, MP 156
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 347 clinicians in this Medicare group
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
232 mi
Emergency Medical Services
5900 COLLEGE RD
Key West, FL 33040
  • Reassigned Medicare billing, Florida enrollment
  • 36 clinicians in this Medicare group
Emergency Medicine
810 SAINT VINCENTS DR
Birmingham, AL 35205
  • Reassigned Medicare billing, Florida enrollment
  • 802 clinicians in this Medicare group
Emergency Medicine
418 N MAIN ST
Penn Yan, NY 14527
  • Reassigned Medicare billing, New York enrollment
  • 113 clinicians in this Medicare group
Urgent Care
2968 CHILI AVE
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 2

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

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number100030
Location10000 W Colonial DrOcoee, FL 34761 · Orange County
Emergency services

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.

Physical Therapist
2300 E COUNTY ROAD 540A
LAKELAND, FL 33813
Internal Medicine
2300 E COUNTY ROAD 540A
LAKELAND, FL 33813
Physical Therapist
2300 E COUNTY ROAD 540A
LAKELAND, FL 33813
Family Medicine
2300 E COUNTY ROAD 540A
LAKELAND, FL 33813
Physical Therapist
2300 E COUNTY ROAD 540A
LAKELAND, FL 33813
Nurse Practitioner (Gerontology)
2300 E COUNTY ROAD 540A
LAKELAND, FL 33813
Podiatrist (Foot & Ankle Surgery)
2300 E COUNTY ROAD 540A
LAKELAND, FL 33813
Physician Assistant (Medical)
2300 E COUNTY ROAD 540A
LAKELAND, FL 33813

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 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.

Where is Jack Davidoff located?

Jack Davidoff practices at 2300 E County Road 540A, Lakeland, FL 33813. The listed phone number is (863) 680-7190.

What is Jack Davidoff's specialty?

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

Is Jack Davidoff enrolled in Medicare?

Yes. Jack Davidoff 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.

Which organizations bill Medicare for Jack Davidoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Davidoff reassigns Medicare benefits to 7 organizations: Paragon Emergency Services LLC (Winter Haven, FL), Emergency Physicians Of Central Florida LLP (Orlando, FL), Emergency Medicine Services Of Fl, LLC (Aventura, FL), Md4er LLC (Key West, FL), Paragon Contracting Services LLC (Birmingham, AL) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Davidoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Davidoff accept?

Health plans from Oscar Health Maintenance Organization of Florida and Wellpoint list Jack Davidoff 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.

Is Jack Davidoff affiliated with any hospitals?

According to CMS data, Jack Davidoff is affiliated with Orlando Health-Health Central Hospital and Hca Florida Poinciana Hospital.

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.