Individual provider Active NPI

Gary F Pastizzo, PA

  • Surgical Physician Assistant
  • Trinity, FL
National Provider Identifier
1073506614
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9110033 Issued in FL
Practice address
9332 State Road 54 Ste 405
Trinity, FL 34655-1810
Phone
(727) 375-8264
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110033 FL
Surgical Physician Assistant 363AS0400X PA9110033 FL Primary
Physician Assistant 363A00000X 000626 CT

Addresses

Primary practice location

9332 State Road 54 Ste 405
Trinity, FL 34655-1810

Mailing address

18951 Roseate Dr
Lutz, FL 33558-2316
Phone (860) 604-2998

Other identifiers 6

IdentifierTypeStateIssuer
010626OtherCTCONNECTICARE
2V6674OtherCTHEALTH NET
00420017701OtherANTHEM BLUE CROSS
290000626CT02OtherANTHEM BLUE CROSS
P3501542OtherCTOXFORD
003006269MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170213000350 FL Practitioner - Physician Assistant 5698727758 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

6006 49TH St N
Saint Petersburg, FL 33709-2149

9330 State Rd
Suite 54
Trinity, FL 34655-1808
Phone (727) 834-4000

9332 State Rd
Trinity, FL 34655-1810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.99 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.08

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
73.64
Promoting interoperability
99
Improvement activities
40
Cost
68.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
626CTMDOccupational Health Chiropractor
000626CTMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Imaging Associates, LLC CurrentSince Jan 1, 2026 Accepting new patients
Prime Healthcare (Sleep Lab) Past Accepting new patients
Gulf Coast Rheumatology, PLLC Past Accepting new patients
Trinity Health of New England Provider Network Organization Inc Past Accepting new patients
Cardiology Consultants Past Accepting new patients

Locations

577 N Williamson Blvd
Daytona Beach, FL 32114

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

3202 N Park Rd
Plant City, FL 33563
Phone (813) 727-1200

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gary.pastizzo@hca4.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1073506614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18951 ROSEATE DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335582316",
            "telephone_number": "860-604-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54 STE 405",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "727-375-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTIZZO",
        "first_name": "GARY",
        "middle_name": "F",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110033",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9110033",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "010626",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2V6674",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "00420017701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "290000626CT02",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3501542",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003006269",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.