GREDYMAR PATRICIA MARIN TOVAR MD
NPI 1104520402
Family Medicine in Jacksonville, FL

Q: What is Gredymar Marin Tovar's NPI number?

The NPI number for Gredymar Marin Tovar is 1104520402. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Q: What is Gredymar Marin Tovar's specialty?

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

Active since March 29, 2023PECOS Enrolled

11851 STILLWOOD PINES BLVD STE 103, JACKSONVILLE, FL 32224(904) 376-4935(904) 376-3218 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2026, Jul 23, 2026, Jul 10, 2023 and 1 more (4 updates tracked since 2023).

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About Gredymar Patricia Marin Tovar Md NPPES

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

GREDYMAR PATRICIA MARIN TOVAR MD (NPI 1104520402) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME181900) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104520402

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameGREDYMAR PATRICIA MARIN TOVARCredential: MD

Location Address11851 STILLWOOD PINES BLVD STE 103Jacksonville, FL 32224-4435

Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075

Phone(904) 376-4935

Fax(904) 376-3218

Sole ProprietorNo

Enumeration DateMarch 29, 2023

Last NPPES UpdateJuly 31, 20264 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1104520402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · ME181900✔ Licensed in GA · 15053

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.

11851 STILLWOOD PINES BLVD STE 103, Jacksonville, FL 32224

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gredymar Patricia Marin Tovar Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Gredymar Marin Tovar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Primary Care Inc

2.3 mi

Family Medicine

10475 CENTURION PKWY N, SUITE 203
Jacksonville, FL 32256

Reassigned Medicare billing, Florida enrollment
569 clinicians in this Medicare group

NPI 1750563037 (904) 998-2464

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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.

Other Providers at the Same Location NPPES

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

DR. ABRAHAM M QUADER D.O.

Family Medicine

11851 STILLWOOD PINES BLVD STE 103
JACKSONVILLE, FL 32224

Duval County (904) 376-4935

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 Gredymar Marin Tovar's NPI number?

The NPI number for Gredymar Marin Tovar is 1104520402. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Gredymar Marin Tovar located?

Gredymar Marin Tovar practices at 11851 Stillwood Pines Blvd Ste 103, Jacksonville, FL 32224. The listed phone number is (904) 376-4935.

What is Gredymar Marin Tovar's specialty?

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

Is Gredymar Marin Tovar enrolled in Medicare?

Yes. Gredymar Marin Tovar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gredymar Marin Tovar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gredymar Marin Tovar reassigns Medicare benefits to Baptist Primary Care Inc (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gredymar Marin Tovar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gredymar Marin Tovar accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Gredymar Marin Tovar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gredymar Marin Tovar was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.