Individual provider Active NPI

Thomas J Yuschok, M.D.

  • Diagnostic Radiology Physician
  • Daytona Beach, FL
National Provider Identifier
1104860600
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME0054742 Issued in FL
Practice address
1673 Mason Ave
Suite # 305
Daytona Beach, FL 32117-5515
Phone
(386) 274-7118
Fax
(386) 274-6173
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME0054742 FL
Diagnostic Radiology Physician 2085R0202X ME54742 FL
Neuroradiology Physician 2085N0700X ME0054742 FL
Diagnostic Radiology Physician 2085R0202X 0101284929 VA
Diagnostic Radiology Physician 2085R0202X ME0054742 FL Primary
Diagnostic Ultrasound Physician 2085U0001X ME0054742 FL
Body Imaging Physician 2085B0100X ME0054742 FL
Pediatric Radiology Physician 2085P0229X ME0054742 FL
Nuclear Radiology Physician 2085N0904X ME0054742 FL
Diagnostic Radiology Physician 2085R0202X 104754 GA
Therapeutic Radiology Physician 2085R0203X ME0054742 FL

Addresses

Primary practice location

1673 Mason Ave
Suite # 305
Daytona Beach, FL 32117-5515

Mailing address

1673 Mason Ave
Suite # 305
Daytona Beach, FL 32117-5515
Phone (386) 274-7118

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0291

Other practice location 2

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 523-1199

Other practice location 3

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-5155

Other practice location 4

1400 River Pl
Braselton, GA 30517-5600
Phone (770) 848-8000

Other identifiers 2

IdentifierTypeStateIssuer
062499300MedicaidFL
09793OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VI, GA, SC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040525001556 FL Practitioner - Diagnostic Radiology 5991786097 Reassigns benefits to 15 organizations
I20210607003229 VI Practitioner - Diagnostic Radiology 5991786097 Reassigns benefits to 1 organization
I20250919003990 GA Practitioner - Diagnostic Radiology 5991786097 Reassigns benefits to 1 organization
I20260217000319 SC Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 5991786097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Imaging Associates LLC 182 clinicians
Villages Regional Hospital Physician Services LLC 198 clinicians
Northeast Georgia Physicians Group Inc 884 clinicians
East Central Florida Outpatient Imaging LLC 44 clinicians
St Thomas Radiology Associates LLC 74 clinicians
St Francis Physician Practices LLC 217 clinicians
Sentara Medical Group 1,396 clinicians
Danville Physician Practices LLC 171 clinicians
DLP Twin County Physician Practices LLC 119 clinicians
Inverness Medical Imaging LLC 83 clinicians

Practice addresses (Care Compare)

101 Health Park Blvd
St Augustine, FL 32086-5777
Phone (904) 819-4707

1041 Dunlawon Ave
Port Orange, FL 32127-7968
Phone (386) 274-7118

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

110 Health Park Blvd
Saint Augustine, FL 32086-5776
Phone (904) 823-3401

1195 Dunlawton Ave
Port Orange, FL 32127-4745
Phone (770) 219-9000

1400 River PL
Braselton, GA 30517-5600
Phone (770) 219-6000

1490 SE Magnolia Ext
Ocala, FL 34471-4443
Phone (352) 732-7400

162 Laurelwood LN
Ormond Beach, FL 32174-4227
Phone (386) 274-7118

1890 Lpga Blvd
Suite 100
Daytona Beach, FL 32117-7135
Phone (386) 274-7118

1890 Lpga Blvd
Suite 110
Daytona Beach, FL 32117-7131
Phone (386) 274-7118

190 Southpark Blvd
Suite 101
St Augustine, FL 32086-4209
Phone (770) 219-9000

1998 FL-44
3 Radiology Associates New Smyrna Bea
New Smyrna Beach, FL 32168-8303
Phone (770) 219-9000

1998 State Rd
44 Suite 3
New Smyrna Beach, FL 32168-8303
Phone (386) 274-7118

202 Phillips PL
Orlando, FL 32806-1218
Phone (352) 732-7400

2090 Saxon Blvd
A
Deltona, FL 32725-3251
Phone 38627471187704

21 Hospital Dr
Suite 130
Palm Coast, FL 32164-2453
Phone (770) 219-9000

2128 Park Ave
Orange Park, FL 32073-5584
Phone (386) 274-6143

3 Pine Cone Dr
Suite 101
Palm Coast, FL 32137-8684
Phone (770) 219-9000

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Phone (386) 274-7118

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-5155

5440 S Williamson Blvd
Suite 102
Port Orange, FL 32128-7398
Phone (386) 274-7118

70 Turin Ter
Suite 100
Saint Augustine, FL 32092-0849
Phone (904) 819-1200

7091 SW 60TH LN
Ocala, FL 34474-1943
Phone (770) 219-2394

9048 Sugar Est
St Thomas, VI 00802-3634
Phone (340) 776-8311

Hospital & facility affiliations

  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017
  • Sovah Health Danville Hospital, Danville, VA, CCN 490075
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.28

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
96128SCMDCase Management Registered Nurse
0101284929VAMDDiagnostic Radiology Physician
ME0054742FLMDDiagnostic Ultrasound Physician

Practice roles (30 of 32)

OrganizationSpecialtyStatusNew patients
Medical Imaging Center of Ocala LLP Pediatric Radiology CurrentSince Aug 9, 2021 Accepting new patients
St Thomas Radiology Associates LLC Body Imaging CurrentSince Oct 23, 2020 Accepting new patients
DLP Twin County Physician Practices LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Sep 30, 2025 Accepting new patients
Ocala Health Imaging Services LLC Diagnostic Radiology CurrentSince Oct 3, 2022 Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Jan 1, 2016 Accepting new patients
Timberridge Imaging Center Diagnostic Radiology CurrentSince Aug 9, 2021 Accepting new patients
Danville Physician Practices LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
East Cooper Physician Group LLC CurrentSince Jan 17, 2026 Accepting new patients
Sentara Medical Group CurrentSince Apr 1, 2025 Accepting new patients
Impression Imaging LLC Neuroradiology CurrentSince Apr 16, 2017 Accepting new patients
St. Francis Physician Practices LLC Diagnostic Radiology CurrentSince Apr 17, 2025 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince May 1, 2025 Accepting new patients
Inverness Medical Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Sentara Advanced Imaging Solutions, LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
East Cooper Physician Group LLC Body Imaging CurrentSince Jan 17, 2026 Accepting new patients
East Central Florida Outpatient Imaging LLC Body Imaging CurrentSince May 15, 2004 Accepting new patients
East Central Florida Outpatient Imaging, LLC Body Imaging Past Accepting new patients
St. Thomas Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology PastSince Feb 11, 2024 Accepting new patients
East Central Florida Outpatient Imaging LLC Body Imaging Past Accepting new patients
East Central Florida Outpatient Imaging LLC Diagnostic Radiology Past Accepting new patients
East Central Florida Outpatient Imaging LLC Body Imaging Past Accepting new patients
East Central Florida Outpatient Imaging, LLC Diagnostic Radiology Past Accepting new patients
East Central Florida Outpatient Imaging LLC Diagnostic Radiology Past Accepting new patients
East Central Florida Outpatient Imaging LLC Body Imaging Past Accepting new patients
East Central Florida Outpatient Imaging, LLC Body Imaging Past Accepting new patients
East Central Florida Outpatient Imaging LLC Diagnostic Radiology Past Accepting new patients
East Central Florida Outpatient Imaging, LLC Body Imaging Past Accepting new patients
Halifax Healthcare Systems Inc Diagnostic Radiology Past Accepting new patients

Locations (25 of 36)

1890 Lpga Blvd
Ste 110
Daytona Beach, FL 32117
Phone 3862747118 ext. 7704

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

577 N Williamson Blvd
Daytona Beach, FL 32114

1890 Lpga Blvd
Ste 100
Daytona Beach, FL 32117

1673 Mason Ave
Ste 305
Daytona Beach, FL 32117
Phone 3862747118 ext. 7704

3400 E Halifax Crossing Blvd
Ste 170
Deltona, FL 32725

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2105 Highway 44 W
Inverness, FL 34453
Phone (352) 419-4818

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

2300 SE 17th St
Ste 800
Ocala, FL 34471
Phone (352) 690-8403

9521 SW Highway 200
Ocala, FL 34481
Phone (352) 351-7500

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

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

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

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

2128 Park Ave
Orange Park, FL 32073
Phone (904) 264-9922

3 Pine Cone Dr
Ste 101
Palm Coast, FL 32137
Phone (386) 446-5200

21 Hospital Dr
Ste 130
Palm Coast, FL 32164
Phone (386) 445-4400

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

1195 Dunlawton Ave
Port Orange, FL 32127
Phone (386) 763-5300

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

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

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

190 Southpark Blvd
Ste 101
St Augustine, FL 32086
Phone (904) 827-9191

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: tyuschok742014@direct.shands.ufl.edu
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 46

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.

View all 46

Hospital & facility affiliations 7

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1104860600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 MASON AVE",
            "address_2": "SUITE # 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175515",
            "telephone_number": "386-274-7118",
            "fax_number": "386-274-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 MASON AVE",
            "address_2": "SUITE # 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175515",
            "telephone_number": "386-274-7118",
            "fax_number": "386-274-6173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-0291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Opitz Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913311",
            "country_code": "US",
            "telephone_number": "703-523-1199",
            "fax_number": "703-583-4923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865784",
            "country_code": "US",
            "telephone_number": "904-819-5155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 River Pl",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175600",
            "country_code": "US",
            "telephone_number": "770-848-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUSCHOK",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME0054742",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME54742",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME0054742",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101284929",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0054742",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "FL",
            "license": "ME0054742",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME0054742",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "FL",
            "license": "ME0054742",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "ME0054742",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "104754",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "FL",
            "license": "ME0054742",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062499300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09793",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.