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JOHN C HACKENBERG D.O.
NPI 1083603245
Family Medicine in Jacksonville, FL

Active since October 19, 2005PECOS Enrolled
4131 UNIVERSITY BLVD S, BLDG #8, JACKSONVILLE, FL 32216(904) 733-3992(904) 737-4344 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John C Hackenberg D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN C HACKENBERG D.O. (NPI 1083603245) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (OS3216) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083603245
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN C HACKENBERGCredential: D.O.
Location Address4131 UNIVERSITY BLVD S, BLDG #8Jacksonville, FL 32216-4326
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774
Phone(904) 733-3992
Fax(904) 737-4344
Sole ProprietorNo
Enumeration DateOctober 19, 2005
Last NPPES UpdateSeptember 29, 2021
NPPES CertifiedSeptember 29, 2021
✔ NPI 1083603245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS3216
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4131 UNIVERSITY BLVD S, Jacksonville, FL 32216
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John C Hackenberg D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
1%191 patients1/55-star benchmark: 96%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
1%329 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%2,324 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%1,110 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
2%197 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
88%409 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
11%355 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
48%329 patients3/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%653 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
4%589 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
8%37 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
53%501 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%355 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
50%355 patients3/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA NICOLE BROWN
Counselor (Mental Health)
4131 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 745-0067
JELTSJE WILLEMIEN DERKSEN PT
Physical Therapist
4131 UNIVERSITY BLVD S, SUITE 17
JACKSONVILLE, FL 32216
Duval County (904) 722-1515
MISS NAKIESHA LYNN THOMPSON
Counselor (Mental Health)
4131 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 923-7618
DR. HENRY LEPELY M.D.
Psychiatry & Neurology (Psychiatry)
4131 UNIVERSITY BLVD S, BLDG 7
JACKSONVILLE, FL 32216
Duval County (904) 737-1300
WALTER MCCLINTON MS
Counselor (Mental Health)
4131 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 716-3181
SYDNE M HENNINGS
Counselor (Mental Health)
4131 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 745-0067
CHARLES C GREENE, MD, PHD
Otolaryngology
4131 UNIVERSITY BLVD S, BUILDING 18
JACKSONVILLE, FL 32216
Duval County (904) 419-2054
NEPHROLOGY GROUP OF NORTHEAST
Internal Medicine (Nephrology)
4131 UNIVERSITY BLVD S, SUITE 6
JACKSONVILLE, FL 32216
Duval County (904) 737-2722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Hackenberg's NPI number?

The NPI number for John Hackenberg is 1083603245. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is John Hackenberg located?

John Hackenberg practices at 4131 University Blvd S Bldg #8, Jacksonville, FL 32216. The listed phone number is (904) 733-3992.

What is John Hackenberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Hackenberg enrolled in Medicare?

Yes. John Hackenberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Hackenberg was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.