Doctor profile · Federal record
Dr. Jacob Wonderlich, PA
Physician Assistant · Davenport, FL
- NPI 1255446878
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
40100 Highway 27
Davenport, FL 33837
(863) 422-4971 - Mailing address
-
8390 Champions Gate Boulevard, Suite 306
Champions Gate, FL 33896
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- July 7, 2021
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Florida #PA9103414
- Medicaid
- FL #292248700
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255446878. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
24
Distinct HCPCS
1
Medicare allowed
$389
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
87804 |
Detection test by immunoassay with direct visual observation for influenza virus | 24 | 15 | $16 |
In context: peer comparison
Among 7 peers in Davenport Physician Assistant, average services per provider: 150. This provider delivers 0.2× the peer median.Open Payments
Industry payments received
All-time total
$142
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 3 | $141.80 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
15
Patients
15
Total drug cost
$26
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 15 | 15 | $26 |
Frequently asked questions
What is Dr. Jacob Wonderlich's medical specialty?
Dr. Jacob Wonderlich practices Physician Assistant in Davenport, FL.
Where does Dr. Jacob Wonderlich practice?
Dr. Jacob Wonderlich practices at 40100 Highway 27, Davenport, FL 33837. Office phone: 8634224971.
What is Dr. Jacob Wonderlich's NPI?
Dr. Jacob Wonderlich's National Provider Identifier (NPI) is 1255446878, issued by NPPES.
What procedures does Dr. Jacob Wonderlich commonly perform?
Top Medicare-reported procedures in 2023: Detection test by immunoassay with direct visual observation for influenza virus (HCPCS 87804). Source: CMS Medicare Physician & Other Practitioners file.