Doctor profile · Federal record
Dr. Jared Destackelberg, PA
Physician Assistant · Ocala, FL
- NPI 1104136399
- Accepts Medicare
- 16 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1901 Se 18Th Ave, Ste 101
Ocala, FL 344718215
(352) 622-3360
fax (352) 671-3269
Credentials & registration
- NPI registered
- October 2010 — 16 yrs on file
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Florida #PAT 9105672
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104136399. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
631
Distinct HCPCS
10
Medicare allowed
$57,326
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 170 | 132 | $74 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 90 | 90 | $140 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 59 | 53 | $47 | |
63048 |
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 49 | 20 | $29 | |
22614 |
Fusion of additional segment of spine | 44 | 21 | $55 | |
22552 |
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc | 36 | 24 | $56 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 30 | 30 | $94 | |
22551 |
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc | 27 | 27 | $238 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 25 | 25 | $144 | |
22842 |
Placement of stabilizing device to back, 3-6 spine bone segments | 24 | 24 | $107 |
In context: peer comparison
Among 35 peers in Ocala Physician Assistant, average services per provider: 186. This provider delivers 3.4× the peer median.Open Payments
Industry payments received
All-time total
$68
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 1 | $26.95 | |
| Scilex Pharmaceuticals INC. | 1 | $21.39 | |
| Spr Therapeutics, INC | 1 | $20.08 |
By nature of payment
Frequently asked questions
What is Dr. Jared Destackelberg's medical specialty?
Dr. Jared Destackelberg practices Physician Assistant in Ocala, FL.
Where does Dr. Jared Destackelberg practice?
Dr. Jared Destackelberg practices at 1901 Se 18Th Ave, Ocala, FL 344718215. Office phone: 3526223360.
What is Dr. Jared Destackelberg's NPI?
Dr. Jared Destackelberg's National Provider Identifier (NPI) is 1104136399, issued by NPPES.
Does Dr. Jared Destackelberg accept Medicare assignment?
Yes. Dr. Jared Destackelberg accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jared Destackelberg commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99212). Source: CMS Medicare Physician & Other Practitioners file.