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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. EVAN MILLER MICHAELSON MD
NPI 1104323286
Orthopaedic Surgery in St Augustine, FL

Active since April 06, 2018PECOS Enrolled
45 GROOVER LOOP, ST AUGUSTINE, FL 32086(903) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 27, 2026, Mar 31, 2025, Sep 18, 2024 (3 updates tracked since 2024).

About Dr. Evan Miller Michaelson Md NPPES

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

DR. EVAN MILLER MICHAELSON MD (NPI 1104323286) is an individual orthopaedic surgery provider in St Augustine, Florida, licensed in Florida (ME181577) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Luminis Health Anne Arundel Medical Center, Inc, and maintains a secondary practice location in Annapolis.

NPPES Registry Identity

NPI1104323286
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. EVAN MILLER MICHAELSONCredential: MD
Location Address45 GROOVER LOOPSt Augustine, FL 32086-6548
Mailing Address18444 N 25th Ave Ste 310Phoenix, AZ 85023-1266 · (623) 241-8716 · Fax (480) 499-8459
Phone(903) 634-0640
Fax(904) 634-0203
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2018
Enumeration DateApril 6, 2018
Last NPPES UpdateAugust 27, 20263 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1104323286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in FL · ME181577✔ Licensed in MD · D0101580
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License D0101580 (MD)
45 GROOVER LOOP, St Augustine, FL 32086
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Secondary Practice Location 1

Location 12629 Riva Rd Ste 114Annapolis, MD 21401-7428 · Phone (410) 573-2530 · Fax (410) 573-2536

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Evan Miller Michaelson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456882661
PECOS Enrollment IDI20240930000062
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
15 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services13 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

NORTH FLORIDA ANESTHESIA CONSULTANTS, INC.
Anesthesiology
45 GROOVER LOOP
ST AUGUSTINE, FL 32086
St. Johns County (954) 939-5000
ST. AUGUSTINE AMBULATORY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
45 GROOVER LOOP
ST AUGUSTINE, FL 32086
St. Johns County (904) 648-8660
EMILY CHRISTINE SUERO PA-C
Physician Assistant
45 GROOVER LOOP
ST AUGUSTINE, FL 32086
St. Johns County (904) 634-0640
SARAH L TOBLIN PA-C
Physician Assistant
45 GROOVER LOOP
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 634-0640

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 Evan Michaelson's NPI number?

The NPI number for Evan Michaelson is 1104323286. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Evan Michaelson located?

Evan Michaelson practices at 45 Groover Loop, St Augustine, FL 32086. The listed phone number is (903) 634-0640.

What is Evan Michaelson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Evan Michaelson enrolled in Medicare?

Yes. Evan Michaelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Evan Michaelson affiliated with any hospitals?

According to CMS data, Evan Michaelson is affiliated with Luminis Health Anne Arundel Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Evan Michaelson was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.