Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THOMAS ROSE
NPI 1477979813
Family Medicine in Jacksonville, FL

Q: What is Thomas Rose's NPI number?

The NPI number for Thomas Rose is 1477979813. It was assigned to this individual provider in the NPPES registry on March 10, 2014.

Q: What is Thomas Rose's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Rose was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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 March 10, 2014PECOS Enrolled

2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-7300 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Thomas Rose NPPES

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

THOMAS ROSE (NPI 1477979813) is an individual family medicine provider in Jacksonville, Florida, licensed in Virginia (0101259073) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477979813

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTHOMAS ROSE

Location Address2080 CHILD STJacksonville, FL 32214-5005

Mailing Address2080 Child StJacksonville, FL 32214-5005 · (904) 542-7300

Phone(904) 542-7300

Sole ProprietorNo

Enumeration DateMarch 10, 2014

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1477979813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101259073

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.

2080 CHILD ST, Jacksonville, FL 32214

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Rose is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32214 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 20

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

MR. STEVEN LEE UNDHEIM IDC

Military Health Care Provider (Independent Duty Corpsman)