JACLYN TYO MELDRUM PA-C
NPI 1811950272
Physician Assistant - Surgical in Jacksonville, FL

Q: What is Jaclyn Meldrum's NPI number?

The NPI number for Jaclyn Meldrum is 1811950272. It was assigned to this individual provider in the NPPES registry on April 7, 2006. The provider is also known as Jaclyn Michelle Tyo.

Q: What is Jaclyn Meldrum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Meldrum was last updated on October 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment

84.3/100

CMS Quality Rating

5191 FIRST COAST TECH PKWY FL 3, JACKSONVILLE, FL 32224(904) 223-3321(904) 223-2169 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2019, Feb 18, 2019 (2 updates tracked since 2019).

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About Jaclyn Tyo Meldrum Pa-c NPPES

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

JACLYN TYO MELDRUM PA-C (NPI 1811950272) is an individual surgical provider in Jacksonville, Florida, licensed in Florida (PA9103502) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1811950272

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJACLYN TYO MELDRUMCredential: PA-C

Location Address5191 FIRST COAST TECH PKWY FL 3Jacksonville, FL 32224-0609

Mailing Address5191 First Coast Tech Pkwy Fl 3Jacksonville, FL 32224-0609 · (904) 223-3321 · Fax (904) 223-2169

Phone(904) 223-3321

Fax(904) 223-2169

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateApril 7, 2006

Last NPPES UpdateOctober 14, 20242 updates tracked since enumeration

NPPES CertifiedOctober 14, 2024

✔ NPI 1811950272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9103502

5191 FIRST COAST TECH PKWY FL 3, Jacksonville, FL 32224

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Other Names 1

Former Name (1)Jaclyn Michelle Tyo

Secondary Practice Location 1

Location 12550 Park St Ste BJacksonville, FL 32204-4518 · Phone (904) 223-3321 · Fax (904) 223-2169

Other Identifiers 1

Medicaid292340800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Jaclyn Tyo Meldrum Pa-c 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 ID244257137

PECOS Enrollment IDI20051031000280

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 10

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

445 services113 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.

148 services122 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.

132 services116 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

80 services66 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

72 services52 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

58 services28 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

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.

84.3/100

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

Scored as part of a group practice

Quality

86.68

Promoting Interoperability

100

Improvement Activities

Cost

60.99

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier29 claims29 services$64.60 avg. paid by Medicare

Static progressive stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories E1801

DME-Other DME · category DE000N

1 supplier11 claims11 services$85.04 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 8

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

WILLIAM EDWARD SEWELL APRN, FNP-BC, FNP-C

Nurse Practitioner