DR. MITZI C BROCK MD
NPI 1417956970
Obstetrics & Gynecology - Gynecology in Jacksonville, FL

Q: What is Mitzi Brock's NPI number?

The NPI number for Mitzi Brock is 1417956970. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Q: What is Mitzi Brock's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Mitzi Brock was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment

89.67/100

CMS Quality Rating

11945 SAN JOSE BLVD, JACKSONVILLE, FL 32223(904) 262-5333(904) 262-5337 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2025, Mar 7, 2023, Dec 12, 2018 (3 updates tracked since 2018).

On this page

About Dr. Mitzi C Brock Md NPPES

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

DR. MITZI C BROCK MD (NPI 1417956970) is an individual gynecology provider in Jacksonville, Florida, licensed in Florida (ME78839) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of University Of Arkansas College Of Medicine (1998).

NPPES Registry Identity

NPI1417956970

Entity TypeIndividualFemale

Primary Taxonomy207VG0400X

Provider Legal NameDR. MITZI C BROCKCredential: MD

Location Address11945 SAN JOSE BLVDJacksonville, FL 32223-1613

Mailing Address11945 San Jose BlvdJacksonville, FL 32223-1627 · (904) 262-5333 · Fax (904) 262-5337

Phone(904) 262-5333

Fax(904) 262-5337

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1998

Enumeration DateJuly 18, 2005

Last NPPES UpdateMarch 29, 20253 updates tracked since enumeration

NPPES CertifiedMarch 29, 2025

✔ NPI 1417956970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in FL · ME78839

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License ME78839 (FL)

11945 SAN JOSE BLVD, Jacksonville, FL 32223

Open in Google Maps ↗

Other Identifiers 6

Other263632800FL · Medipass

Other17343FL · Bcbs

Medicaid263632800FL

Other285303FL · Avmed

OtherME78839FL · Medical License

OtherP00187785FL · Medicare Railroad

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) 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. Mitzi C Brock 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 ID7416905773

PECOS Enrollment IDI20050104000613

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 5

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.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

40 services40 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

40 services40 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

33 services33 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.

20 services16 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32223 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

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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.

89.67/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.86

Promoting Interoperability

100

Improvement Activities

Cost

67.71

Reported Quality Measures

Breast Cancer Screening

91%516 patients4/55-star benchmark: 93%

Cervical Cancer Screening

97%1,191 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

24%89 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

51%796 patients3/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

100%1,936 patients5/55-star benchmark: 100%

e-Prescribing

96%799 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

43%1,470 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

43%1,881 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 88% · 1,382 patients

Patients screened: 90% · 1,382 patients

23%31 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

92%595 patients4/55-star benchmark: 100%

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 18

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

BAPTIST PRIMARY CARE INC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

11945 SAN JOSE BLVD, SUITE 301
JACKSONVILLE, FL 32223

Duval County (904) 260-9699

KAYLA BAGWELL MD

Obstetrics & Gynecology

11945 SAN JOSE BLVD
JACKSONVILLE, FL 32223

Duval County (904) 262-5333

DR. TODD J RASNER MD

Obstetrics & Gynecology (Gynecology)

11945 SAN JOSE BLVD, BLD 400
JACKSONVILLE, FL 32223

Duval County (904) 262-5333

DR. LEANNE LENKER DPT

Physical Therapist

11945 SAN JOSE BLVD, SUITE 202
JACKSONVILLE, FL 32223

Duval County (904) 880-2424

FIRSTCHOICE PHYSICAL THERAPY AND SPORTS REHABILITATION INC

Clinic/Center

11945 SAN JOSE BLVD, SUITE 202
JACKSONVILLE, FL 32223

Duval County (904) 880-2424

COLLEEN SUTTON PT

Physical Therapist (Orthopedic)

11945 SAN JOSE BLVD, SUITE 202
JACKSONVILLE, FL 32223

Duval County (904) 880-2424

FLORIDA WOMAN CARE, LLC

Obstetrics & Gynecology

11945 SAN JOSE BLVD, BLDG 400
JACKSONVILLE, FL 32223

Duval County (904) 262-5333

NORTH FLORIDA SURGEONS, PA

Surgery

11945 SAN JOSE BLVD, #300
JACKSONVILLE, FL 32223

Duval County (904) 396-1725

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 Mitzi Brock's NPI number?

The NPI number for Mitzi Brock is 1417956970. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Mitzi Brock located?

Mitzi Brock practices at 11945 San Jose Blvd, Jacksonville, FL 32223. The listed phone number is (904) 262-5333.

What is Mitzi Brock's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Mitzi Brock enrolled in Medicare?

Yes. Mitzi Brock 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 Mitzi Brock accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare list Mitzi Brock 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 Mitzi Brock affiliated with any hospitals?

According to CMS data, Mitzi Brock is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Mitzi Brock was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.