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Tina Jing-Yuen So , PA-C

Physician Assistant β€’ Clermont, FL

Active NPI 1013613082 Individual Practitioner Female Practitioner
Practice location in NPPES

1900 Don Wickham Dr Ste 120
Clermont, FL 347111980

Call 3522417050 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

1900 Don Wickham Dr Ste 120

Clermont, FL 347111980

Telephone 3522417050
Organization at the Same NPPES Address or Phone
South Lake Obstetrics & Gynecology, Llc Facility NPI 1497754121

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of South Florida College Of Medicine

Graduation Year

2025

Open Payments general payments, program year 2025

All general payments: $74.62 across 3 records.

By nature of payment

  • Food and Beverage: $74.62 across 3 records.

Reporting-company totals

  • HOLOGIC INC: $26.86 across 1 record.
  • Bayer Healthcare Pharmaceuticals Inc.: $25.94 across 1 record.
  • Organon LLC: $21.82 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

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 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

2023

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.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

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, β€œDoes your provider accept Medicare as full payment?”

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)

Tina So 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 Tina So 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 Clermont and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clermont

9.4% of these 32 clinicians have the CMS telehealth indicator.

46.9% of these 32 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· 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 Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $74.62.

Manufacturer Payment Nature Product Type Amount ($)
HOLOGIC INC
Food and Beverage
In-kind items and services
THINPREP 2000 PROCESSOR General $26.86
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Mirena General $25.94
Organon LLC
Food and Beverage
In-kind items and services
NEXPLANON General $21.82

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

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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

I20251114000581

Enrollment State Jurisdiction

FL

PECOS Control ID

8820589195

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.

Clinicians Sharing This Practice Address or Phone

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

4 listed
Dr. Matthew Casavant , DO

Obstetrics & Gynecology

NPI 1003815671

Doctor of Osteopathic Medicine (D.O.)

Jacqueline Miller , PA-C

Physician Assistant - Medical

NPI 1467451062

Physician Assistant (Certified)

Dr. Gloria Perez , DO

Obstetrics & Gynecology - Obstetrics

NPI 1942660410

Doctor of Osteopathic Medicine (D.O.)

Dr. Tamara Richards , MD

Obstetrics & Gynecology

NPI 1447461736

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 23, 2025

Registered at 1900 DON WICKHAM DR STE 120, CLERMONT, FL 347111980 (Tel: 3522417050)

πŸ‘€
Provider Name / Credentials Updated September 23, 2025

Recorded as TINA SO, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2025

Physician Assistant

βœ…
NPI Profile Active February 01, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 01, 2023

Registered at 10504 CORY LAKE DR, TAMPA, FL 336472710 (Tel: 8137874729)

πŸ“
Business Mailing Address (Initial Record) February 01, 2023

Registered at 10504 CORY LAKE DR, TAMPA, FL 336472710

πŸ‘€
Provider Name / Credentials (Initial Record) February 01, 2023

Recorded as TINA SO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration February 01, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013613082
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2023
Last Update: September 23, 2025
Sole Proprietor: Yes

Other Physician Assistants in Clermont

All Physician Assistants in Clermont

Mailing Address

10504 Cory Lake Dr

Tampa, FL 336472710

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.