Nicole Russo Cavignaro , PA-C
Physician Assistant โข St Augustine, FL
316 Paseo Reyes Dr
St Augustine, FL 320958464
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Nicole Cavignaro is listed in NPPES under Physician Assistant.
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NPI assigned on January 9, 2022; this date does not establish years in practice.
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Published CMS data list 507 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 17003 โ Destruction of precancer skin growth, 2-14 growths: 241 service units.
- 17000 โ Destruction of precancer skin growth, 1 growth: 74 service units.
- 99213 โ Established patient outpatient office visit: 56 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 8 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 769 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Ketoconazole โ 217 prescription fills, including refills.
- Mupirocin โ 153 prescription fills, including refills.
- Triamcinolone Acetonide โ 105 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 13 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: 930. Middle half: 181 to 3,435.
More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
Practice Location & Contact Primary Location
316 Paseo Reyes Dr
St Augustine, FL 320958464
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Bold City Dermatology Llc. 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
2022
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
131 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $18,232 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 $14,459 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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
800 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
$139,402 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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: $1,070.86 across 70 records.
By nature of payment
- Food and Beverage: $970.87 across 69 records.
- Education: $99.99 across 1 record.
Reporting-company totals (3 largest of 10)
- Janssen Pharmaceuticals, Inc: $284.69 across 15 records.
- ABBVIE INC.: $197.04 across 15 records.
- Regeneron Pharmaceuticals, Inc.: $172.34 across 9 records.
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.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
4 years (graduated 2022)
CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2022
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Nicole Cavignaro 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.
Can order Medicare-covered services
CMS lists Nicole Cavignaro 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in St Augustine and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: 930. Middle half: 181 to 3,435.
More Medicare Part B services than 65% 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 lower Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: $69,023. Middle half: $16,773 to $130,926.
Close to the middle for 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 lower Medicare payment amount than 65% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: $49,785. Middle half: $12,926 to $95,563.
Close to the middle for 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
Close to the middle for clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: 677. Middle half: 213 to 1,245.
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 85% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: $8,035. Middle half: $2,366 to $44,224.
A higher Part D drug cost than 80% 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.
41 active clinicians are listed under Physician Assistant with a practice address in St Augustine, FL (10,260 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in St Augustine
2.4% of these 41 clinicians have the CMS telehealth indicator.
61% of these 41 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
CMS data for Medicare Part B services are available for 2024 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2024 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2024 only.
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Medicare Part D prescriptions
CMS data for Part D prescriptions are available for 2024 only.
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30-day fills
CMS data for 30-day fills are available for 2024 only.
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Part D drug cost
CMS data for Part D drug cost are available for 2024 only.
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 41% from $1,811.77 in 2024 to $1,070.86 in 2025.
- 2024: $1,811.77
- 2025: $1,070.86
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
Program year 2025 (payments made January 1 โ December 31, 2025): 70 records totaling $1,070.86.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc |
Education
In-kind items and services
|
TREMFYA | General | $99.99 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $43.09 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $29.87 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
COSENTYX | General | $28.33 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
RINVOQ | General | $27.89 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $27.47 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $24.49 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $23.63 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $23.06 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $22.14 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $21.99 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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CIBINQO | General | $21.47 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
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NEMLUVIO | General | $20.99 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $20.98 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $20.96 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $20.81 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $20.04 |
| Almirall LLC |
Food and Beverage
In-kind items and services
|
Klisyri | General | $19.96 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $19.51 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $19.05 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
CIBINQO | General | $17.88 |
| Organon LLC |
Food and Beverage
In-kind items and services
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โ | General | $17.64 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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OTEZLA | General | $17.29 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $16.87 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $16.79 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 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, 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 |
|---|---|---|---|---|
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17003
Destruction of precancer skin growth, 2-14 growths
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241 | 48 | $11.10 | $5.30 |
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17000
Destruction of precancer skin growth, 1 growth
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74 | 59 | $115.68 | $47.08 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
56 | 53 | $157.10 | $75.09 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
45 | 33 | $97.37 | $46.53 |
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11102
Biopsy of related skin growth, first growth
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36 | 35 | $169.82 | $75.52 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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25 | 25 | $193.94 | $92.69 |
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11103
Biopsy of related skin growth, each additional growth
|
16 | 14 | $85.24 | $40.74 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
14 | 13 | $221.83 | $106.03 |
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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ketoconazole | Ketoconazole | 217 | 6,195 | $2,854.36 | 84 |
| Mupirocin | Mupirocin | 153 | 3,358 | $1,035.31 | 95 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 105 | 3,360 | $1,434.08 | 60 |
| Hydrocortisone | Hydrocortisone | 70 | 2,200 | $1,232.92 | 48 |
| Mometasone Furoate | Mometasone Furoate | 42 | 1,085 | $946.27 | 23 |
| Doxycycline Hyclate | Doxycycline Hyclate | 35 | 794 | $373.36 | 20 |
| Dupixent Pen | Dupilumab | 31 | 882 | $121,257.85 | โ |
| Clindamycin Phosphate | Clindamycin Phosphate | 26 | 780 | $669.81 | 13 |
| Clobetasol Propionate | Clobetasol Propionate | 21 | 599 | $844.00 | 15 |
| Metronidazole | Metronidazole | 20 | 615 | $1,765.79 | 11 |
| Tacrolimus | Tacrolimus | 19 | 570 | $5,381.12 | 11 |
| Fluocinolone Acetonide | Fluocinolone/Shower Cap | 19 | 570 | $977.13 | โ |
| Fluocinolone Acetonide | Fluocinolone Acetonide | 11 | 285 | $630.37 | 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
Self-certified to NPPES: 2024-08-12NUCC 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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20240117001285
FL
6800248667
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
Bold City Dermatology Llc
316 Paseo Reyes Dr, St Augustine, FL 320958464
Phone: 9045445800
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Medical
Physician Assistant (Certified)
Dermatology
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 316 PASEO REYES DR, ST AUGUSTINE, FL 320958464 (Tel: 9045445800)
Registered at 316 PASEO REYES DR, ST AUGUSTINE, FL 320958464 (Tel: 9045445800)
Recorded as NICOLE CAVIGNARO, PA-C
Physician Assistant (license number reported to NPPES: FL PA9117532)
Dermatology (license number reported to NPPES: FL PA9117532)
Registered at 1514 NIRA ST, JACKSONVILLE, FL 322078652 (Tel: 9043874991)
NPI status registered as active in NPPES database
Registered at 70 FULLER POND RD, MIDDLETON, MA 019492508 (Tel: 9789300139)
Registered at 70 FULLER POND RD, MIDDLETON, MA 019492508 (Tel: 9789300139)
Recorded as NICOLE CAVIGNARO
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in St Augustine
- Sean Powell, PA-C
- Itzel Sandoval-Reynoso, PA-C
- Robert Weber, PA-C
- Harry Prevatt, PA
- David Goins, PA
- Joshua Massey, PA
Mailing Address
316 Paseo Reyes Dr
St Augustine, FL 320958464
Phone: 9045445800