MR. JON P BOETTGER P.A.
NPI 1982916888
Physician Assistant in Tampa, FL

Active since July 08, 2010PECOS EnrolledAccepts Medicare Assignment
89.43/100
CMS Quality Rating
12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-4673 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2022, Jan 8, 2020, Nov 4, 2019 and 2 more (5 updates tracked since 2017).

About Mr. Jon P Boettger P.a. NPPES

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

MR. JON P BOETTGER P.A. (NPI 1982916888) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9105512) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1982916888
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JON P BOETTGERCredential: P.A.
Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416
Mailing AddressPo Box 198441Atlanta, GA 30384-8441
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 8, 2010
Last NPPES UpdateMay 6, 20225 updates tracked since enumeration
NPPES CertifiedMay 6, 2022
NPI 1982916888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in FL · PA9105512 Licensed in TX · PA12179
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.
12902 USF MAGNOLIA DR, Tampa, FL 33612

Secondary Practice Locations 2

Location 16001 Kyle Pkwy Ste 101Kyle, TX 78640 · Phone (512) 294-1771
Location 24450 Sojourn Dr Ste 200Addison, TX 75001 · Phone (972) 733-0014 · Fax (972) 733-0125

Other Identifiers 1

Medicaid391145503TX

Accepted 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

Mr. Jon P Boettger P.a. 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 ID8729112537
PECOS Enrollment IDI20100816000861
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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.

89.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.84
Promoting Interoperability100
Improvement Activities40

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.

Surgery
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Radiology (Radiation Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Physician Assistant
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Obstetrics & Gynecology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Pathology (Anatomic Pathology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612

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 Jon Boettger's NPI number?

The NPI number for Jon Boettger is 1982916888. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Jon Boettger located?

Jon Boettger practices at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (813) 745-4673.

What is Jon Boettger's specialty?

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

Is Jon Boettger enrolled in Medicare?

Yes. Jon Boettger 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 Jon Boettger accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Jon Boettger 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 Jon Boettger was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.