Jared Destackelberg, PA
Physician Assistant · Ocala, FL
Jared Destackelberg, PA is a physician assistant with a practice address in Ocala, Florida, and NPI 1104136399, issued on Oct 21, 2010. Check the license (Florida PAT 9105672, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Jared Destackelberg
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PAT 9105672 FL
Self-reported in NPPES; status is on the state search - Practice location
- 1901 SE 18TH Ave, Ocala, FL 34471
- Phone
- (352) 622-3360
- Enumerated
- Oct 21, 2010
- Entity
- Type 1 · individual
Also registered at 1901 SE 18TH Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Robert Barish, M.D.Gastroenterology Physician1538197165
- Debbi Croley, ARNPNurse Practitioner1538544531
- David Cunningham, MDUrology Physician1891891594
- Mark Dersch, MDUrology Physician1538119151
- Antonio Disclafani, MDNeurological Surgery Physician1497843254
- Stephanie Heald, APRNFamily Nurse Practitioner1184347858
Verify Jared Destackelberg in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license PAT 9105672Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
99% fewer Medicare Part D claims than the average physician assistant in 2024
11 Medicare Part D claims, against an average of 832 among the 95,030 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $68.42
3 payments, mostly food and beverage; the largest payer was Medtronic, Inc.. The 61,144 providers of this specialty with any payment received $853.85 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
2 hospital and facility affiliations
- Neurosurgery And Spine SpecialistsSarasota, FL
- Smh Physician Services IncSarasota, FL
Source: CMS Doctors and Clinicians affiliations; Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
113 physician assistant records list a Ocala practice address
They are 113 of the 4,935 NPPES records with a Ocala practice address, and 9,809 physician assistant records in Florida.
All 113 in Ocala → All 9,809 in Florida → Every provider in Ocala →
Other physician assistant records in Florida
- Kiersten AabergPensacola, FL1285572669
- Timothy Aamland, PA-CGainesville, FL1912953183
- Cathy Aaron, PA-CPensacola, FL1386892289
- Joseph AbadiotakisGainesville, FL1215867999
- Monica Abare, PA-COrlando, FL1275708141
- Awad Abass, PA-COrlando, FL1295110765
- Anthony Abate, PA-COrange Park, FL1588411623
- Edmund Abate, PA-CCelebration, FL1205820206
- Sara Abbas, PA-CJacksonville, FL1356121206
- Sogand AbbasiPalm Harbor, FL1205608197
Common questions
What is Jared Destackelberg, PA's NPI number?
Jared Destackelberg, PA's National Provider Identifier (NPI) is 1104136399, issued on Oct 21, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Jared Destackelberg, PA located?
The NPPES record lists a practice address at 1901 SE 18TH Ave, Ocala, FL, 34471. Phone: (352) 622-3360. Providers update this record themselves, so call before visiting.
How can I verify Jared Destackelberg, PA's license?
NPPES lists Florida license number PAT 9105672, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Jared Destackelberg, PA prescribe under Medicare Part D?
In 2024, Jared Destackelberg, PA had 11 Medicare Part D claims; the average among physician assistant prescribers was 832. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.