Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jacqueline Brooke Johnson , PA-C

Physician Assistant โ€ข Clearwater, FL

Active NPI 1346693231 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

430 Morton Plant St, Suite 301
Clearwater, FL 337563395

Call 7274616026 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

430 Morton Plant St
Suite 301

Clearwater, FL 337563395

Telephone 7274616026
Fax 7274611492
Organization at the Same NPPES Address or Phone
Stafford & Klavans Md Pa Facility NPI 1790752327

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Tallahassee Orthopedic Clinic Iii Pl. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2016

Medicare patients

69 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $9,131 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $6,481 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

822 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$6,931 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $83.69 across 3 records.

By nature of payment

  • Food and Beverage: $83.69 across 3 records.

Reporting-company totals

  • Stryker Corporation: $45.04 across 1 record.
  • Endo USA, Inc.: $22.42 across 1 record.
  • Orthofix Medical, Inc.: $16.23 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jacqueline Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jacqueline Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Clearwater and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant in Clearwater, FL (2024, 61 clinicians with data). Median for this group: 137. Middle half: 54 to 316.

Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Clearwater, FL (2024, 61 clinicians with data). Median for this group: $12,011. Middle half: $5,048 to $27,600.

A lower Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $19,984. Middle half: $7,371 to $51,670.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Clearwater, FL (2024, 61 clinicians with data). Median for this group: $8,738. Middle half: $3,327 to $20,057.

A lower Medicare payment amount than 70% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $14,814. Middle half: $5,414 to $38,190.

Medicare Part D prescriptions

More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Clearwater, FL (2024, 67 clinicians with data). Median for this group: 169. Middle half: 53 to 507.

More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Clearwater, FL (2024, 67 clinicians with data). Median for this group: $2,125. Middle half: $411 to $28,626.

Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.

116 active clinicians are listed under Physician Assistant with a practice address in Clearwater, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clearwater

3.4% of these 116 clinicians have the CMS telehealth indicator.

40.5% of these 116 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $83.69.

Manufacturer Payment Nature Product Type Amount ($)
Stryker Corporation
Food and Beverage
In-kind items and services
TRIATHLON General $45.04
Endo USA, Inc.
Food and Beverage
In-kind items and services
XIAFLEX General $22.42
Orthofix Medical, Inc.
Food and Beverage
Cash or cash equivalent
Physio-Stim General $16.23

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
27447 Replacement of knee joint, both sides of knee
34 33 $1625.51 $175.96
23472 Prosthetic repair of shoulder joint, total shoulder
16 16 $1925.00 $196.79

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Celecoxib Celecoxib 172 6,690 $4,188.68 73
Oxycodone Hcl Oxycodone Hcl 155 747 $795.27 99
Amoxicillin Amoxicillin 95 97 $122.16 51
Meloxicam Meloxicam 61 2,520 $193.03 21
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 50 231 $337.44 30
Cefadroxil Cefadroxil 49 343 $370.15 47
Tramadol Hcl Tramadol Hcl 39 205 $74.22 19
Gabapentin Gabapentin 23 562 $113.71 โ€”
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 23 98 $199.26 18
Ondansetron Hcl Ondansetron Hcl 19 80 $119.23 19
Diclofenac Sodium Diclofenac Sodium 17 773 $245.30 โ€”
Doxycycline Hyclate Doxycycline Hyclate 12 94 $59.91 โ€”
Cephalexin Cephalexin 11 106 $75.43 โ€”
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 11 127 $37.06 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA 9109476

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20160817001864

Enrollment State Jurisdiction

FL

PECOS Control ID

2062707920

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Tallahassee Orthopedic Clinic Iii Pl

3334 Capital Medical Blvd, Tallahassee, FL 323084470

Phone: 8508778174

Tallahassee Orthopedic Clinic Iii Pl

430 Morton Plant St, Clearwater, FL 337563395

Phone: 8139789700

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Steven Alexander , RPAC

Physician Assistant - Surgical

NPI 1114194669
Andres Anais , PA

Physician Assistant - Surgical

NPI 1568645208

Physician Assistant

Dr. Andrew Boltuch , DO

Orthopaedic Surgery

NPI 1265815450

Doctor of Osteopathic Medicine (D.O.)

Dr. David Cheong , MD

Orthopaedic Surgery

NPI 1457307183

Doctor of Medicine (M.D.)

Ruth Coopee , OTR, CHT, CLT

Occupational Therapist

NPI 1427123827

Occupational Therapist Registered, Certified Hand Therapist, Certified Lymphedema Therapist

Dr. Andrew Cooper , MD

Orthopaedic Surgery

NPI 1710188479

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated July 15, 2016.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1346693231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2016
Last Update: October 13, 2016
Sole Proprietor: Yes

Other Physician Assistants in Clearwater

All Physician Assistants in Clearwater

Mailing Address

430 Morton Plant St, Suite 301

Clearwater, FL 337563395

Phone: 7274616026

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.