Active NPI
Gary F Pastizzo, PA
- Surgical Physician Assistant
- Trinity, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9110033
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010626 | Other | CT | CONNECTICARE |
| 2V6674 | Other | CT | HEALTH NET |
| 00420017701 | Other | ANTHEM BLUE CROSS | |
| 290000626CT02 | Other | ANTHEM BLUE CROSS | |
| P3501542 | Other | CT | OXFORD |
| 003006269 | Medicaid | CT |
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
Enrollment records 1
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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.08
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.25 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 626 | CT | MD | Occupational Health Chiropractor |
| 000626 | CT | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Imaging Associates, LLC | Current | 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
- 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.
-
dba The Heart Institute
- Cardiovascular Disease Physician
- St Petersburg, FL
- NPI 1801198023
-
- Diagnostic Radiology Physician
- Daytona Beach, FL
- NPI 1063400729
-
dba SDI Diagnostic Imaging
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1215903398
-
dba Heart & Vascular Institute of Florida - South Pinellas
- Specialist
- St Petersburg, FL
- NPI 1811940802
-
- Rheumatology Physician
- Trinity, FL
- NPI 1164955027
-
- Sleep Disorder Diagnostic Clinic/Center
- Wethersfield, CT
- NPI 1184832354
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Trinity Hospital
- General Acute Care Hospital
- Trinity, FL
- NPI 1891741849
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.