EMILIO P SUPSUPIN JR. M.D.
NPI 1225069800
Radiology - Neuroradiology in Jacksonville, FL

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-4202 Get Directions Write a Review

NPPES record last updated: March 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Emilio P Supsupin Jr. M.d. NPPES

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

EMILIO P SUPSUPIN JR. M.D. (NPI 1225069800) is an individual neuroradiology provider in Jacksonville, Florida, licensed in Florida (ME152526) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1225069800
Entity TypeIndividualMale
Primary Taxonomy2085N0700X
Provider Legal NameEMILIO P SUPSUPIN JR.Credential: M.D.
Location Address655 W 8TH STJacksonville, FL 32209-6511
Mailing AddressPo Box 44008Jacksonville, FL 32231-4008 · (904) 244-4202
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 9, 2025
NPPES CertifiedMarch 9, 2025
NPI 1225069800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
License Licensed in FL · ME152526
Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License N5422 (TX)
655 W 8TH ST, Jacksonville, FL 32209

Secondary Practice Location 1

Location 16411 Fannin StHouston, TX 77030-1501 · Phone (713) 500-7700 · Fax (713) 500-7639

Other Identifiers 3

Medicaid182077101TX
Other182077102TX · Cshcn
Other8S7138TX · Bcbstx

Accepted Insurance

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

Emilio P Supsupin Jr. M.d. 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 ID547265704
PECOS Enrollment IDI20060921000166, I20211006000256
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 27

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
360 services309 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
78 services77 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
71 services70 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
70 services65 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
65 services64 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
57 services57 patients

Hospital Affiliations CMS Care Compare

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

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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

Internal Medicine (Rheumatology)
655 W 8TH ST, UFJP RHEUMATOLOGY DEPT.
JACKSONVILLE, FL 32209
Emergency Medicine
655 W 8TH ST, UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL 32209
Obstetrics & Gynecology (Gynecologic Oncology)
655 W 8TH ST, UNIVERSITY OF FLORIDA CENTER FOR WOMEN
JACKSONVILLE, FL 32209
Anesthesiology
655 W 8TH ST, UFJP ANESTHESIA DEPT.
JACKSONVILLE, FL 32209
Orthopaedic Surgery
655 W 8TH ST, UFJP ORTHOPEDICS
JACKSONVILLE, FL 32209
Anesthesiology
655 W 8TH ST, UFJP ANESTHESIA
JACKSONVILLE, FL 32209
Surgery
655 W 8TH ST
JACKSONVILLE, FL 32209
Family Medicine
655 W 8TH ST, UFJP CHFM - 4TH FLOOR ACC
JACKSONVILLE, FL 32209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225069800, enumerated as an "individual" on July 05, 2006.

The provider is located at 655 W 8TH ST JACKSONVILLE, FL 32209 and the phone number is (904) 244-4202.

Radiology with taxonomy code 2085N0700X and a focus in Neuroradiology.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Community. Please consult your insurance carrier or call the provider to verify.

Emilio Supsupin is affiliated with: SHANDS JACKSONVILLE.