Provider Profile
Jared A. Destackelberg, PA is a physician assistant practicing in Ocala, FL. Medicare claims data shows Jared provided 610 services to 494 patients.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Source: NPPES NPI Registry
1901 SE 18TH AVE STE 101
Ocala, FL 34471
610 services · 494 patients · 15 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Fusion of additional segment of spine | Procedure | 22614 |
59 |
| Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | Procedure | 63048 |
49 |
| Insertion of cage or mesh device to spine bone and disc space during spine fusion | Procedure | 22853 |
23 |
| Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | Procedure | 63047 |
20 |
| Placement of stabilizing device to back, 3-6 spine bone segments | Procedure | 22842 |
17 |
| Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc | Procedure | 63030 |
16 |
| Fusion of spine in lower back with partial removal of spine bone and disc | Procedure | 22633 |
16 |
| Placement of stabilizing device to back of 1 spine bone in neck | Procedure | 22840 |
11 |
| Fusion of spine in lower back | Procedure | 22612 |
11 |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
168 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Jared A. Destackelberg is a physician assistant in Ocala, FL. That is the designation recorded for this NPI in the federal registry.
NPI registry
Jared A. Destackelberg is listed at 1901 Se 18Th Ave Ste 101, Ocala, FL 34471. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (352) 622-3360. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Jared A. Destackelberg's National Provider Identifier is 1104136399. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Jared A. Destackelberg attended Other, graduating in 2010. This comes from the CMS National Downloadable File.
CMS public data
Jared A. Destackelberg has 16 years experience. Calculated from a graduation year of 2010, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Jared A. Destackelberg performs procedures including fusion of additional segment of spine, partial removal of spine bone with release of spinal cord and/or nerves, each additional segment and insertion of cage or mesh device to spine bone and disc space during spine fusion, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Jared A. Destackelberg. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.