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DR. JOSEPH R. HARTIGAN M. D.
NPI 1568420784
Surgery in Jacksonville, FL

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
79.26/100
CMS Quality Rating
4203 BELFORT RD, SUITE 215, JACKSONVILLE, FL 32216(904) 296-4141(904) 279-2095 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Joseph R. Hartigan M. D. NPPES

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

DR. JOSEPH R. HARTIGAN M. D. (NPI 1568420784) is an individual surgery provider in Jacksonville, Florida, licensed in Florida (ME65852) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of University Of South Florida College Of Medicine (1989).

NPPES Registry Identity

NPI1568420784
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOSEPH R. HARTIGANCredential: M. D.
Location Address4203 BELFORT RD, SUITE 215Jacksonville, FL 32216-1416
Mailing Address11945 San Jose Blvd, Bldg 300Jacksonville, FL 32223-1627 · (904) 396-1725 · Fax (904) 399-1717
Phone(904) 296-4141
Fax(904) 279-2095
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1989
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 22, 2011
✔ NPI 1568420784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME65852
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4203 BELFORT RD, Jacksonville, FL 32216
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Other Identifiers 7

Medicare ID-Type Unspecified25316Y
Other1498799Cigna
OtherO20031821FL · Railroad Medicare
Other25316Bcbs Fl
Other208157Avmed
Other4479855Aetna
Medicare UPINF81619

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. Joseph R. Hartigan 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 ID7416082516
PECOS Enrollment IDI20100315000604
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 6

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.

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.
45 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
21 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
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.
13 services12 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

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 32216 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
$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.

79.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.47
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
19%136 patients1/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
1%292 patients1/55-star benchmark: 100%
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.
73%812 patients2/55-star benchmark: 100%
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…
26%517 patients2/55-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: 91% · 86 patients
91%43 patients4/55-star benchmark: 98%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 261 patients
0%261 patients5/55-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 16

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

KATHRYN ELIZABETH MELKO PHD, RD, CDE
Dietitian, Registered
4203 BELFORT RD, SUITE 302
JACKSONVILLE, FL 32216
Duval County (904) 450-6317
NATASHA ELIZ MD
Specialist
4203 BELFORT RD, SUITE 204
JACKSONVILLE, FL 32216
Duval County (904) 296-5688
DR. NITIKA MALHOTRA M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4203 BELFORT RD, SUITE 315
JACKSONVILLE, FL 32216
Duval County (904) 450-6860
DR. ANDREA PIERCE MOORE AUD, CCC-A, F-AAA
Audiologist
4203 BELFORT RD, SUITE 340
JACKSONVILLE, FL 32216
Duval County (904) 880-0911
AVA E PHOENIX M.D.
Obstetrics & Gynecology
4203 BELFORT RD, SUITE 204
JACKSONVILLE, FL 32216
Duval County (904) 296-5688
LAUREN HAYNES
Dietitian, Registered
4203 BELFORT RD
JACKSONVILLE, FL 32216
Duval County (904) 450-6090
MS. ANGELA SIMONE GOODMAN CNM
Advanced Practice Midwife
4203 BELFORT RD
JACKSONVILLE, FL 32216
Duval County (904) 405-0504
ANGELA KATHLEEN STALVEY ARNP-BC
Nurse Practitioner (Family)
4203 BELFORT RD, SUITE 204
JACKSONVILLE, FL 32216
Duval County (904) 296-5688

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 Joseph Hartigan's NPI number?

The NPI number for Joseph Hartigan is 1568420784. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Joseph Hartigan located?

Joseph Hartigan practices at 4203 Belfort Rd Suite 215, Jacksonville, FL 32216. The listed phone number is (904) 296-4141.

What is Joseph Hartigan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Joseph Hartigan enrolled in Medicare?

Yes. Joseph Hartigan 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 Joseph Hartigan accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Joseph Hartigan 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 Joseph Hartigan affiliated with any hospitals?

According to CMS data, Joseph Hartigan is affiliated with Ascension St Vincent's Riverside, 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 Joseph Hartigan was last updated on July 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.