Jared A. Destackelberg, PA
NPI 1104136399ActiveIndividual· Physician Assistant· Ocala, FL
Physician Assistant (PA) with Smh Physician Services Inc and 1 other group, practicing in Ocala, Florida. Mostly services rather than prescriptions: Medicare paid $60,796 for 350 patients in 2024, with only 11 Part D claims. Boston Scientific Corporation was the largest of 6 companies reporting payments in 2025, $409.84 in all, mostly food and beverage. Lists Sarasota Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1104136399 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Oct 21, 2010 |
| Last updated in NPPES | Oct 21, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PAT 9105672 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 350 |
|---|---|
| Services billed | 836 across 68 procedure codes |
| Paid by Medicare | $60,796 |
Part D prescriptions in 2024
| Prescriptions (claims) | 11 · 12 30-day fills |
|---|---|
| Total drug cost | $122.73 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Smh Physician Services IncSarasota, FL · 784 clinicians
- Neurosurgery and Spine SpecialistsSarasota, FL · 10 clinicians
Hospital affiliations
- Sarasota Memorial HospitalSarasota, FL
- Sarasota Memorial Hospital - VeniceNorth Venice, FL
Industry payments (Open Payments)
- 2025$409.84 · 20 payments from 6 companies
- 2024$68.42 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $179.85 | 14 |
| Orthofix Medical, Inc. | $145.12 | 2 |
| Globus Medical, Inc. | $23.90 | 1 |
| Medtronic, Inc. | $23.67 | 1 |
| Smith+nephew, Inc. | $21.23 | 1 |
What the 2025 payments were for
- Food and Beverage$409.84 · 20 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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