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DONALD W TICE D.O.
NPI 1154380483
Family Medicine in Ponte Vedra, FL

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
141 HILDEN RD STE 201, PONTE VEDRA, FL 32081(904) 825-1941(904) 390-7460 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donald W Tice D.o. NPPES

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

DONALD W TICE D.O. (NPI 1154380483) is an individual family medicine provider in Ponte Vedra, Florida, licensed in Florida (OS19428) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1981).

NPPES Registry Identity

NPI1154380483
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDONALD W TICECredential: D.O.
Location Address141 HILDEN RD STE 201Ponte Vedra, FL 32081-8400
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 825-1941
Fax(904) 390-7460
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1981
Enumeration DateMarch 23, 2006
Last NPPES UpdateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1154380483 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 · OS19428✔ Licensed in NV · D01509
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.
141 HILDEN RD STE 201, Ponte Vedra, FL 32081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, 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 and accepts Medicare assignment

Donald W Tice D.o. 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 ID6901700343
PECOS Enrollment IDI20240319001232
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

3

Medicare enrollment records show Donald Tice reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Primary Care, Inc.
Same address
Family Medicine
141 HILDEN RD, SUITE 201
Ponte Vedra, FL 32081
  • Reassigned Medicare billing, Florida enrollment
  • 569 clinicians in this Medicare group
NPI 1659513539 (904) 825-1941
Little River Medical Center, Inc.
284 mi
Federally Qualified Health Center (FQHC)
3236 HOLMESTOWN RD
Myrtle Beach, SC 29588
NPI 1508120619 (843) 663-8000
Signify Health Medical Associates, PLLC
930 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, South Carolina enrollment
  • 311 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 7

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 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.
166 services111 patients
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.
96 services71 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
74 services16 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.
47 services47 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
40 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services15 patients

Hospital Affiliations CMS Care Compare 2

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

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

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32081 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 6

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

ELIZABETH ANNE NELSON ANDERSEN MD
Family Medicine
141 HILDEN RD STE 201
PONTE VEDRA, FL 32081
St. Johns County (904) 825-1941
DR. SHELBY LEEANN SHEIDER MD
Family Medicine
141 HILDEN RD STE 201
PONTE VEDRA, FL 32081
St. Johns County (904) 825-1941
OMAMA ASHRAF RAHMANY DO
Internal Medicine
141 HILDEN RD STE 201
PONTE VEDRA, FL 32081
St. Johns County (904) 825-1941
ERICH L SCHRAMM MD
Family Medicine
141 HILDEN RD STE 201
PONTE VEDRA, FL 32081
St. Johns County (904) 825-1941
RASHMI U SCHRAMM MD
Family Medicine
141 HILDEN RD STE 201
PONTE VEDRA, FL 32081
St. Johns County (904) 825-1941
DR. JONATHAN JAMES GRIES M.D.
Family Medicine
141 HILDEN RD STE 201
PONTE VEDRA, FL 32081
St. Johns County (904) 825-1941

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 Donald Tice's NPI number?

The NPI number for Donald Tice is 1154380483. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Donald Tice located?

Donald Tice practices at 141 Hilden Rd Ste 201, Ponte Vedra, FL 32081. The listed phone number is (904) 825-1941.

What is Donald Tice's specialty?

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

Is Donald Tice enrolled in Medicare?

Yes. Donald Tice 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 Donald Tice's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Tice reassigns Medicare benefits to 3 organizations: Baptist Primary Care, Inc. (Ponte Vedra, FL), Little River Medical Center, Inc. (Myrtle Beach, SC) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Donald Tice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Tice accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Donald Tice 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 Donald Tice affiliated with any hospitals?

According to CMS data, Donald Tice is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Donald Tice was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.