JONATHAN FOREST BALOG D.O.
NPI 1417214289
Family Medicine in Jacksonville, FL

Active since April 18, 2012PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 30, 2023, Aug 30, 2023, Feb 12, 2021 and 2 more (5 updates tracked since 2015).

About Jonathan Forest Balog D.o. NPPES

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

JONATHAN FOREST BALOG D.O. (NPI 1417214289) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (OS12395) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and is a graduate of Nova Southeastern College Of Osteo Medicine (2012).

NPPES Registry Identity

NPI1417214289
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHAN FOREST BALOGCredential: D.O.
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2012
Enumeration DateApril 18, 2012
Last NPPES UpdateOctober 30, 20235 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
NPI 1417214289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · OS12395
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.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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

Jonathan Forest Balog 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 ID2961648878
PECOS Enrollment IDI20150812008938
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 2

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.
78 services67 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.
40 services39 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

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.

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.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers26 claims54 services$5.70 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers23 claims23 services$0.95 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 20

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

Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Gastroenterology)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Orthopaedic Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Hospitalist
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224

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 Jonathan Balog's NPI number?

The NPI number for Jonathan Balog is 1417214289. It was assigned to this individual provider in the NPPES registry on April 18, 2012.

Where is Jonathan Balog located?

Jonathan Balog practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.

What is Jonathan Balog's specialty?

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

Is Jonathan Balog enrolled in Medicare?

Yes. Jonathan Balog 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 Jonathan Balog accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Jonathan Balog 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 Jonathan Balog affiliated with any hospitals?

According to CMS data, Jonathan Balog is affiliated with Mayo Clinic.

When was this NPI record last updated?

The NPPES record for Jonathan Balog was last updated on October 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.