DAWN M MORMAK M.D.
NPI 1689963696
Obstetrics & Gynecology in Jacksonville, FL

Q: What is Dawn Mormak's NPI number?

The NPI number for Dawn Mormak is 1689963696. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Q: What is Dawn Mormak's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Dawn Mormak was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 30, 2011PECOS EnrolledAccepts Medicare Assignment

836 PRUDENTIAL DR STE 1202, JACKSONVILLE, FL 32207(904) 493-5323(904) 346-5410 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2023, Oct 28, 2022, Oct 12, 2022 and 5 more (8 updates tracked since 2019).

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About Dawn M Mormak M.d. NPPES

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

DAWN M MORMAK M.D. (NPI 1689963696) is an individual obstetrics & gynecology provider in Jacksonville, Florida, licensed in Florida (ME121487) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689963696

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDAWN M MORMAKCredential: M.D.

Location Address836 PRUDENTIAL DR STE 1202Jacksonville, FL 32207-8339

Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806

Phone(904) 493-5323

Fax(904) 346-5410

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2011

Enumeration DateMarch 30, 2011

Last NPPES UpdateJune 23, 20238 updates tracked since enumeration

NPPES CertifiedJune 23, 2023

✔ NPI 1689963696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME121487

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

836 PRUDENTIAL DR STE 1202, Jacksonville, FL 32207

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Secondary Practice Locations 3

Location 11510 Riverplace BlvdJacksonville, FL 32207-9017 · Phone (904) 346-0050 · Fax (904) 346-0080

Location 24425 Merrimac AveJacksonville, FL 32210 · Phone (904) 346-0050 · Fax (904) 346-0080

Location 34181 Southpoint Dr E Ste 300Jacksonville, FL 32216-8083 · Phone (904) 346-0050 · Fax (904) 346-0080

Other Identifiers 1

Medicaid015090100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Dawn M Mormak 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 ID5890915268

PECOS Enrollment IDI20241226001850

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 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.

18 services14 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390139

Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County

Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390195

Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

68%75 patients3/55-star benchmark: 92%

Cervical Cancer Screening

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…

95%1,124 patients

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%1,541 patients4/55-star benchmark: 99%

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…

7%230 patients1/55-star benchmark: 88%

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.

100%268 patients5/55-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.

89%1,564 patients4/55-star benchmark: 97%

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…

38%692 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: 100% · 861 patients

Patients tobacco: 2% · 54 patients

94%861 patients4/55-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…

99%1,564 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…

78%1,564 patients4/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

83%1,564 patients

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.

KENDRA SECCOMBE APRN

Nurse Practitioner (Women's Health)