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Weidong Su , PA-C

Physician Assistant β€’ Jacksonville, FL

Active NPI 1306122973 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4500 San Pablo Rd S
Jacksonville, FL 322241865

Call 9049532000 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

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000
Organization at the Same NPPES Address or Phone
Mayo Clinic Jacksonville Facility NPI 1790772317

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

NPPES lists 1 additional practice-address record in Jacksonville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Mayo Clinic Jacksonville. 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

2011

30-day fills

16,978 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

$188,856 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 – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $127.02 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 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

2011

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, 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)

Weidong Su 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 Weidong Su 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 D prescriptions

More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Jacksonville, FL (2024, 407 clinicians with data). Median for this group: 208. Middle half: 60 to 691.

More Part D prescriptions than 95% 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 80% of clinicians listed under Physician Assistant in Jacksonville, FL (2024, 407 clinicians with data). Median for this group: $6,463. Middle half: $624 to $68,077.

A higher Part D drug cost than 85% of 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.

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 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 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
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $127.02.

Manufacturer Payment Nature Product Type Amount ($)
Integra LifeSciences Corporation
Food and Beverage
In-kind items and services
Integra General $127.02

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

Medicare Part D Prescribing Profile & Medications

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

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Rosuvastatin Calcium Rosuvastatin Calcium 692 59,644 $7,790.73 247
Levothyroxine Sodium Levothyroxine Sodium 354 31,156 $3,010.08 121
Losartan Potassium Losartan Potassium 314 27,137 $2,726.46 116
Atorvastatin Calcium Atorvastatin Calcium 298 26,306 $2,431.66 102
Amlodipine Besylate Amlodipine Besylate 289 25,240 $619.94 101
Omeprazole Omeprazole 272 23,220 $1,913.67 101
Fenofibrate Fenofibrate 264 22,486 $3,860.98 90
Lisinopril Lisinopril 196 17,235 $867.97 79
Gabapentin Gabapentin 183 13,715 $2,023.64 79
Ezetimibe Ezetimibe 180 15,300 $2,472.16 69
Metformin Hcl Er Metformin Hcl 176 14,955 $1,062.89 65
Pioglitazone Hcl Pioglitazone Hcl 153 13,590 $1,674.65 55
Losartan-Hydrochlorothiazide Losartan/Hydrochlorothiazide 147 13,090 $1,413.11 54
Metformin Hcl Metformin Hcl 135 11,156 $596.91 59
Glipizide-Metformin Glipizide/Metformin Hcl 133 10,401 $3,237.31 54
Pantoprazole Sodium Pantoprazole Sodium 130 10,539 $748.25 45
Albuterol Sulfate Hfa Albuterol Sulfate 128 6,337 $7,037.55 48
Furosemide Furosemide 127 10,621 $381.07 57
Tamsulosin Hcl Tamsulosin Hcl 125 10,644 $1,027.85 46
Fluticasone Propionate Fluticasone Propionate 96 6,210 $811.50 51
Carvedilol Carvedilol 93 6,874 $698.23 30
Metoprolol Succinate Metoprolol Succinate 83 7,410 $1,152.82 27
Potassium Chloride Potassium Chloride 76 6,357 $956.43 37
Metoprolol Tartrate Metoprolol Tartrate 75 6,630 $216.36 28
Finasteride Finasteride 72 6,480 $614.94 27

(top 25 shown)

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

Self-certified to NPPES: 2026-02-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9106187

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

I20140303001378

Enrollment State Jurisdiction

FL

PECOS Control ID

6002046539

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

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Secondary Practice Locations

11565 N Main St

Jacksonville, FL 322184002

Phone: 9047572811

Clinicians Sharing This Practice Address or Phone

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

37 listed
Dr. Zaid Abdel Rahman , MD

Internal Medicine - Hematology

NPI 1003299330

Doctor of Medicine (M.D.)

Dr. Mohammed Ahmed , MD

Radiology - Diagnostic Radiology

NPI 1013335876

Doctor of Medicine (M.D.)

Dr. Violeta Alvarez Retamales , MD

Internal Medicine - Nephrology

NPI 1013401090

Doctor of Medicine (M.D.)

Ryan Asencios , PA-C

Physician Assistant

NPI 1003484437

Physician Assistant (Certified)

Melinda Barber , ARNP

Nurse Practitioner

NPI 1013358613

Advanced Registered Nurse Practitioner

NPI 1013273986

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location February 24, 2026

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

πŸ“
Updated Business Mailing Address February 24, 2026

Registered at PO BOX 860912, MINNEAPOLIS, MN 554860912

βœ…
NPI Profile Active February 07, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 07, 2014

Registered at 11565 N MAIN ST, JACKSONVILLE, FL 322184002 (Tel: 9047572811)

πŸ“
Business Mailing Address (Initial Record) February 07, 2014

Registered at 8923 HAMPTON LANDING DR E, JACKSONVILLE, FL 322564585 (Tel: 9046426157)

πŸ‘€
Provider Name / Credentials (Initial Record) February 07, 2014

Recorded as WEIDONG SU, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2014

Physician Assistant (license number reported to NPPES: FL PA9106187)

🟒
Initial NPI Registration & Enumeration October 27, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306122973
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2011
Last Update: February 24, 2026
Sole Proprietor: No

Other Physician Assistants in Jacksonville

All Physician Assistants in Jacksonville

Mailing Address

Po Box 860912

Minneapolis, MN 554860912

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.