Active NPI
Jason Alexander Peklinsky, MD
- Family Medicine Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME156035
- Practice address
- 807 N Myrtle Ave
Clearwater, FL 33755-4254 - Phone
- (727) 467-2400
- Fax
- (727) 467-2477
- NPI assigned
- Mar 24, 2014
- Last updated
- Jul 18, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WV | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 26661 | WV | |
| Family Medicine Physician | 207Q00000X | ME156035 | FL | Primary |
Addresses
Primary practice location
807 N Myrtle Ave
Clearwater, FL 33755-4254
Mailing address
807 N Myrtle Ave
Clearwater, FL 33755-4254
Phone (727) 467-2400
Other practice location 1
1 Medical Center Drive
Morgantown, WV 26506
Phone (304) 598-6900
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpeklinsky18834@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | jpeklinsky18834@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | jpeklinsky18834@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | jason.peklinskymd@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13670 Walsingham Rd
Largo, FL 33774-3532
Phone (727) 593-9848
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231
807 N Myrtle Ave
Clearwater, FL 33755-4254
Phone (727) 467-2400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| The Hospice of the Florida Suncoast, Inc. | Family Medicine | Current | Accepting new patients |
| Baycare Urgent Care, LLC | Family Medicine | Current | Accepting new patients |
| Empath Health Pharmaceuticals, LLC | Current | Accepting new patients | |
| Baycare Urgent Care, LLC | Family Medicine | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Empath Community Health LLC | Current | Accepting new patients |
Locations
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
5771 Roosevelt Blvd
Clearwater, FL 33760
Phone (727) 523-2480
807 N Myrtle Ave
Clearwater, FL 33755
Phone (727) 467-2400
6310 Capital Dr
Lakewood Ranch, FL 34202
Phone (941) 552-7500
13670 Walsingham Rd
Largo, FL 33774
Phone (727) 593-9848
4821 US Highway 19
Ste 5
New Port Richey, FL 34652
Phone (727) 851-9650
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
2675 Tampa Rd
Palm Harbor, FL 34684
Phone (727) 467-7423
6770 102nd Ave N
Pinellas Park, FL 33782
Phone (727) 523-2460
2331 4th St N
St Petersburg, FL 33704
Phone (727) 593-9848
Networks
- Optimum HealthCare HMO Network
Interoperability endpoints
- jason.peklinskymd@direct.mybaycare.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Family Medicine
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Pinellas Park, FL
- NPI 1669817516
-
- Community Based Hospice Care Agency
- Palm Harbor, FL
- NPI 1124028204
Family Medicine
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- General Practice Physician
- New Port Richey, FL
- NPI 1629514070
Family Medicine
-
dba Empath Health Pharmaceuticals
- Community/Retail Pharmacy
- Largo, FL
- NPI 1407257470
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morton Plant Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1790102184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 N MYRTLE AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337554254",
"telephone_number": "727-467-2400",
"fax_number": "727-467-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 N MYRTLE AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337554254",
"telephone_number": "727-467-2400",
"fax_number": "727-467-2477"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Drive",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "26506",
"country_code": "US",
"telephone_number": "304-598-6900",
"fax_number": "304-598-4459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEKLINSKY",
"first_name": "JASON",
"middle_name": "ALEXANDER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-24",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WV",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "26661",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME156035",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpeklinsky18834@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Medical Center Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265061200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpeklinsky18834@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Medical Center Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265061200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpeklinsky18834@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Medical Center Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265061200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jason.peklinskymd@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew St Fl 2",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337593012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.