Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Daniel Roger Hack , PA-C

Physician Assistant โ€ข Jacksonville, FL

Active NPI 1740610377 Individual Practitioner Male Practitioner
Practice location in NPPES

1301 Palm Ave
Jacksonville, FL 322078432

Call 9042027300 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

1301 Palm Ave

Jacksonville, FL 322078432

Telephone 9042027300
Fax 9042027433
Organization at the Same NPPES Address or Phone
Baptist Md Anderson Cancer Physicians Inc Facility NPI 1568941276

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

Medicare patients

282 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 $170,112 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 $137,271 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

24 standardized 30-day fills in 2023

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

$105 in 2023

The total cost of these prescriptions in 2023, 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, 2023.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2013

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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)

Daniel Hack 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 Daniel Hack 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 Jacksonville and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Jacksonville, FL (2024, 432 clinicians with data). Median for this group: 317. Middle half: 110 to 886.

More Medicare Part B services than 85% 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

A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Jacksonville, FL (2024, 432 clinicians with data). Median for this group: $25,236. Middle half: $8,783 to $61,231.

A higher Medicare-allowed amount than 90% 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

A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Jacksonville, FL (2024, 432 clinicians with data). Median for this group: $18,850. Middle half: $6,720 to $45,820.

A higher Medicare payment amount than 90% 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

Comparisons use 2024 data. The latest CMS data for Daniel Hack are from 2023.

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

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

Telehealth indicator in Jacksonville

20.5% of these 842 clinicians have the CMS telehealth indicator.

59.1% of these 842 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
1,141 238 $98.09 $94.90
11042 Removal of skin and tissue, 20.0 sq cm or less
253 58 $118.00 $111.59
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
149 140 $120.78 $117.68
11045 Removal of skin and tissue, each additional 20.0 sq cm or less
148 18 $38.00 $35.62
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
86 58 $67.95 $65.62
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
25 15 $218.00 $205.99

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 2023.

CMS Part D ยท Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Metronidazole Metronidazole 13 29 $39.93 13
Ciprofloxacin Hcl Ciprofloxacin Hcl 11 37 $64.95 11

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL 9115794

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NY 017058

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

I20220608002911

Enrollment State Jurisdiction

FL

PECOS Control ID

0244468643

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.

40 listed
NPI 1770859944

Doctor of Medicine (M.D.)

Dr. Mohammed Alqawasma , MD

Internal Medicine - Pulmonary Disease

NPI 1033671276

Doctor of Medicine (M.D.)

Diana Amenya , APRN

Nurse Practitioner

NPI 1396281028

Advanced Practice Registered Nurse

Christelle Ammons , PA-C

Physician Assistant

NPI 1093291205

Physician Assistant (Certified)

Dr. Cynthia Anderson , MD

Radiology - Radiation Oncology

NPI 1174724819

Doctor of Medicine (M.D.)

Dr. Jorge Antunez De Mayolo , MD

Internal Medicine - Hematology & Oncology

NPI 1407844798

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2023

Physician Assistant (license number reported to NPPES: FL 9115794)

๐Ÿ“
Updated Practice Location June 03, 2022

Registered at 1301 PALM AVE, JACKSONVILLE, FL 322078432 (Tel: 9042027300)

๐Ÿ“
Updated Business Mailing Address June 03, 2022

Registered at PO BOX 746654, ATLANTA, GA 303746654 (Tel: 9042022092)

๐Ÿ‘ค
Provider Name / Credentials Updated June 03, 2022

Recorded as DANIEL HACK, PA-C

โœ…
NPI Profile Active May 05, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 05, 2014

Registered at 1980 CROMPOND RD, THE WESTCHESTER MEDICAL PRACTICE PC, CORTLANDT MANOR, NY 105674144 (Tel: 9147343600)

๐Ÿ“
Business Mailing Address (Initial Record) May 05, 2014

Registered at 50 DAYTON LN STE 202, THE WESTCHESTER MEDICAL PRACTICE PC, PEEKSKILL, NY 105662860 (Tel: 9147390087)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 05, 2014

Recorded as DANIEL HACK, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2014

Physician Assistant (license number reported to NPPES: NY 017058)

๐ŸŸข
Initial NPI Registration & Enumeration November 18, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740610377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2013
Last Update: November 22, 2023
Sole Proprietor: No

Other Physician Assistants in Jacksonville

All Physician Assistants in Jacksonville

Mailing Address

Po Box 746654

Atlanta, GA 303746654

Phone: 9042022092

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.