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JOSEPH MIGNONE MD
NPI 1154318012
Internal Medicine - Hematology & Oncology in Jacksonville, FL

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
83.26/100
CMS Quality Rating
1235 SAN MARCO BLVD, 3RD FLOOR, JACKSONVILLE, FL 32207(904) 493-5100(904) 493-5130 Get Directions Write a Review

NPPES record last updated: June 29, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 29, 2018, Mar 22, 2016, Mar 18, 2016 and 1 more (4 updates tracked since 2016).

About Joseph Mignone Md NPPES

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

JOSEPH MIGNONE MD (NPI 1154318012) is an individual hematology & oncology provider in Jacksonville, Florida, licensed in Florida (ME79920) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1154318012
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameJOSEPH MIGNONECredential: MD
Location Address1235 SAN MARCO BLVD, 3RD FLOORJacksonville, FL 32207
Mailing Address2160 Colonial BlvdFort Myers, FL 33907-1410 · (239) 931-7342 · Fax (239) 931-7385
Phone(904) 493-5100
Fax(904) 493-5130
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 5, 2005
Last NPPES UpdateJune 29, 20184 updates tracked since enumeration
✔ NPI 1154318012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in FL · ME79920
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1235 SAN MARCO BLVD, Jacksonville, FL 32207
Open in Google Maps ↗

Secondary Practice Location 1

Location 11235 San Marco Blvd, 3rd FloorJacksonville, FL 32207-8554 · Phone (904) 493-5100 · Fax (904) 493-5130

Other Identifiers 8

Other1193403FL · Wellcare
Medicaid2623820-00FL
Other1034496FL · Careplus
Other273639FL · Avmed
OtherP0022944FL · Florida Healthcare Plus
OtherP01593281FL · Rrmedicare
Other51714FL · Bcbs
Medicaid849494350EGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Mignone 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 ID2668409947
PECOS Enrollment IDI20050719000250
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 Reassignments

2

Medicare enrollment records show Joseph Mignone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genesiscare Usa Of Florida LLC
1.4 mi
Hematology & Oncology
425 N LEE ST STE 104
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 284 clinicians in this Medicare group
NPI 1710360508 (904) 805-7050
Shands Jacksonville Medical Center Inc
2.5 mi
Hematology & Oncology
655 W 8TH ST
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1851892467 (904) 244-1888

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

Areas of Expertise CMS Part B claims 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
331 services112 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.
269 services188 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
171 services85 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
118 services50 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
72 services69 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services42 patients

Hospital Affiliations CMS Care Compare 4

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100179
Location3625 University Blvd SJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
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.

83.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.96
Promoting Interoperability100
Improvement Activities40
Cost63.59

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
15%40 patients1/55-star benchmark: 92%
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…
25%106 patients2/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
9%70 patients1/55-star benchmark: 85%
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.
48%357 patients1/55-star benchmark: 100%
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.
61%44 patients3/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
12%108 patients1/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
4%357 patients1/55-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.
8%154 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
57%109 patients3/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
19%124 patients1/55-star benchmark: 88%
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
Patients tobacco: 92% · 76 patients
99%76 patients
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…
21%154 patients1/55-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…
4%154 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers20 claims20 services$30.33 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers22 claims2,404 services$0.72 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers20 claims21 services$12.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

GERARD A.COLUCCELLI,M.D.
Eyewear Supplier
1235 SAN MARCO BLVD, SUITE 401
JACKSONVILLE, FL 32207
Duval County (904) 398-2111
21ST CENTURY ONCOLOGY OF JACKSONVILLE LLC
Internal Medicine (Medical Oncology)
1235 SAN MARCO BLVD, SUITE 3
JACKSONVILLE, FL 32207
Duval County (904) 493-5100
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Radiology (Radiation Oncology)
1235 SAN MARCO BLVD, SUITE 100
JACKSONVILLE, FL 32207
Duval County (904) 202-7020
NEUROSURGICAL ASSOCIATES OF NORTH FLORIDA INC.
Neurological Surgery
1235 SAN MARCO BLVD, STE 201
JACKSONVILLE, FL 32207
Duval County (904) 398-2756
NICOLE SUNDERLAND ANDERSON MD
Radiology (Radiation Oncology)
1235 SAN MARCO BLVD, SUITE 100
JACKSONVILLE, FL 32207
Duval County (904) 202-7020
REGIONAL CONSULTANTS IN HEMATOLOGY ONCOLOGY, INC.
Internal Medicine (Hematology & Oncology)
1235 SAN MARCO BLVD, 3RD FLOOR
JACKSONVILLE, FL 32207
Duval County (904) 493-5100
GERARD A COLUCCELLI MD PA
Ophthalmology
1235 SAN MARCO BLVD, 401
JACKSONVILLE, FL 32207
Duval County (904) 346-3506
BAPTIST MD ANDERSON CANCER PHYSICIANS INC
Internal Medicine (Hematology & Oncology)
1235 SAN MARCO BLVD, SUITE 2
JACKSONVILLE, FL 32207
Duval County (904) 202-7300

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 Joseph Mignone's NPI number?

The NPI number for Joseph Mignone is 1154318012. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Joseph Mignone located?

Joseph Mignone practices at 1235 San Marco Blvd 3rd Floor, Jacksonville, FL 32207. The listed phone number is (904) 493-5100.

What is Joseph Mignone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Joseph Mignone enrolled in Medicare?

Yes. Joseph Mignone 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.

Which organizations bill Medicare for Joseph Mignone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Mignone reassigns Medicare benefits to 2 organizations: Genesiscare Usa Of Florida LLC (Jacksonville, FL) and Shands Jacksonville Medical Center Inc (Jacksonville, FL). Each 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 Joseph Mignone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Mignone accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Joseph Mignone 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.

Is Joseph Mignone affiliated with any hospitals?

According to CMS data, Joseph Mignone is affiliated with Shands Jacksonville, Baptist Health Medical Center - Jacksonville, Flagler Hospital and Hca Florida Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Mignone was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.