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DR. JACKIE DEAN SUBLETT II M.D.
NPI 1811034986
Family Medicine in Orlando, FL

Active since January 30, 2007PECOS Enrolled
52 W UNDERWOOD ST # MP135, ORLANDO, FL 32806(321) 841-5346 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jackie Dean Sublett Ii M.d. NPPES

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

DR. JACKIE DEAN SUBLETT II M.D. (NPI 1811034986) is an individual family medicine provider in Orlando, Florida, licensed in Florida (ME138637) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811034986
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACKIE DEAN SUBLETT IICredential: M.D.
Location Address52 W UNDERWOOD ST # MP135Orlando, FL 32806-1110
Mailing Address52 W Underwood St # Mp135Orlando, FL 32806-1110 · (321) 841-5346
Phone(321) 841-5346
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateSeptember 12, 2019
✔ NPI 1811034986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME138637✔ Licensed in AR · E-5084
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.
52 W UNDERWOOD ST # MP135, Orlando, FL 32806
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jackie Dean Sublett Ii M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jackie Sublett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Arkansas For Medical Sciences
771 mi
Child & Adolescent Psychiatry
3901 MCCAIN PARK DR STE 102
North Little Rock, AR 72116
  • Reassigned Medicare billing, Arkansas enrollment
  • 2,038 clinicians in this Medicare group
NPI 1750456638 (501) 771-8261

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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

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

JOIA MARCELIN LCSW
Social Worker (Clinical)
52 W UNDERWOOD ST # MP135
ORLANDO, FL 32806
Orange County (321) 842-5343

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 Jackie Sublett's NPI number?

The NPI number for Jackie Sublett is 1811034986. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Jackie Sublett located?

Jackie Sublett practices at 52 W Underwood St # Mp135, Orlando, FL 32806. The listed phone number is (321) 841-5346.

What is Jackie Sublett's specialty?

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

Is Jackie Sublett enrolled in Medicare?

Yes. Jackie Sublett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jackie Sublett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Sublett reassigns Medicare benefits to University Of Arkansas For Medical Sciences (North Little Rock, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackie Sublett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jackie Sublett was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.