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DR. JOE E GERGES EL KHOURY M.D.
NPI 1396949954
Internal Medicine - Gastroenterology in Jacksonville Beach, FL

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
77.15/100
CMS Quality Rating
1375 ROBERTS DR, SUITE 204, JACKSONVILLE BEACH, FL 32250(904) 247-0056(904) 241-0065 Get Directions Write a Review

NPPES record last updated: February 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joe E Gerges El Khoury M.d. NPPES

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

DR. JOE E GERGES EL KHOURY M.D. (NPI 1396949954) is an individual gastroenterology provider in Jacksonville Beach, Florida, licensed in Florida (ME111347) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1396949954
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JOE E GERGES EL KHOURYCredential: M.D.
Location Address1375 ROBERTS DR, SUITE 204Jacksonville Beach, FL 32250-3210
Mailing Address4800 Belfort RdJacksonville, FL 32256-6004 · (904) 398-3262 · Fax (904) 265-6407
Phone(904) 247-0056
Fax(904) 241-0065
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 14, 2007
Last NPPES UpdateFebruary 27, 2012
✔ NPI 1396949954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in FL · ME111347✔ Licensed in WV · 23110
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1375 ROBERTS DR, Jacksonville Beach, FL 32250
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Other Names 1

Professional Name (2)Dr. Joe Khoury M.d.

Other Identifiers 3

Medicare PINFT489ZFL
MedicaidPENDINGFL
Medicaid3810012254WV

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joe E Gerges El Khoury 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 ID5496722993
PECOS Enrollment IDI20120207000472
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 10

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.
372 services269 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
163 services159 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
152 services151 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
123 services123 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.
105 services94 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.
94 services94 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32250 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

77.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.95
Promoting Interoperability96
Improvement Activities40
Cost61.22

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
96%49 patients5/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
85%598 patients5/55-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.
80%1,650 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,518 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
100%47 patients5/55-star benchmark: 98%
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.
84%521 patients4/55-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.
93%1,072 patients4/55-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
15%468 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
12%1,002 patients1/55-star benchmark: 97%
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 screenedForUse: 63% · 469 patients
61%469 patients3/55-star benchmark: 98%
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…
95%1,072 patients4/55-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…
42%1,072 patients3/55-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.

Other Providers at the Same Location NPPES 10

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

ANDY WILSON ARNP
Nurse Practitioner (Family)
1375 ROBERTS DR, SUITE 205
JACKSONVILLE, FL 32250
Duval County (904) 389-1010
CANCER SPECIALISTS LLC
Internal Medicine (Hematology & Oncology)
1375 ROBERTS DR, SUITE 103
JACKSONVILLE, FL 32250
Duval County (904) 997-3800
DR. MICHAEL B IBACH M.D.
Internal Medicine (Gastroenterology)
1375 ROBERTS DR, STE 204
JACKSONVILLE BEACH, FL 32250
Duval County (904) 247-0056
MS. MICHELLE M KRAWCZYK ARNP
Nurse Practitioner (Adult Health)
1375 ROBERTS DR, SUITE 103
JACKSONVILLE BEACH, FL 32250
Duval County (904) 997-3800
MS. SHIRLEY LYNN FABRIZIO ARNP
Nurse Practitioner
1375 ROBERTS DR, SUITE 103
JACKSONVILLE BEACH, FL 32250
Duval County (904) 997-3800
JEFFREY S HOFFMAN MD
Internal Medicine (Gastroenterology)
1375 ROBERTS DR, SUITE 204
JACKSONVILLE, FL 32250
Duval County (904) 247-0056
DR. THOMAS G GADDIS MD
Internal Medicine (Hematology & Oncology)
1375 ROBERTS DR, SUITE 103
JACKSONVILLE BEACH, FL 32250
Duval County (904) 997-3800
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Internal Medicine (Hematology & Oncology)
1375 ROBERTS DR, STE 103
JACKSONVILLE BEACH, FL 32250
Duval County (904) 997-3800

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 Joe Gerges El Khoury's NPI number?

The NPI number for Joe Gerges El Khoury is 1396949954. It was assigned to this individual provider in the NPPES registry on June 14, 2007. The provider is also known as Dr. Joe Khoury M.D..

Where is Joe Gerges El Khoury located?

Joe Gerges El Khoury practices at 1375 Roberts Dr Suite 204, Jacksonville Beach, FL 32250. The listed phone number is (904) 247-0056.

What is Joe Gerges El Khoury's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Joe Gerges El Khoury enrolled in Medicare?

Yes. Joe Gerges El Khoury 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.

What insurance does Joe Gerges El Khoury accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Joe Gerges El Khoury 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 Joe Gerges El Khoury affiliated with any hospitals?

According to CMS data, Joe Gerges El Khoury is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches and Ascension St Vincent's Southside.

When was this NPI record last updated?

The NPPES record for Joe Gerges El Khoury was last updated on February 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.