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MICHAEL VINCENT DEFAZIO MD
NPI 1821354325
Surgery - Plastic and Reconstructive Surgery in Jacksonville, FL

Active since April 09, 2012PECOS EnrolledAccepts Medicare Assignment
79.26/100
CMS Quality Rating
14546 OLD SAINT AUGUSTINE RD STE 407, JACKSONVILLE, FL 32258(904) 262-3372(904) 262-3306 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2019, Oct 2, 2018, May 25, 2018 (3 updates tracked since 2018).

About Michael Vincent Defazio Md NPPES

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

MICHAEL VINCENT DEFAZIO MD (NPI 1821354325) is an individual plastic and reconstructive surgery provider in Jacksonville, Florida, licensed in Texas (R6770) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821354325
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameMICHAEL VINCENT DEFAZIOCredential: MD
Location Address14546 OLD SAINT AUGUSTINE RD STE 407Jacksonville, FL 32258-5473
Mailing Address11945 San Jose Blvd Ste 300Jacksonville, FL 32223-1627 · (904) 396-1725 · Fax (904) 396-4893
Phone(904) 262-3372
Fax(904) 262-3306
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2012
Enumeration DateApril 9, 2012
Last NPPES UpdateAugust 1, 20193 updates tracked since enumeration
✔ NPI 1821354325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · R6770
Definition
A surgeon who specializes in plastic and reconstructive surgery.
14546 OLD SAINT AUGUSTINE RD STE 407, Jacksonville, FL 32258
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13800 Reservoir Rd NW, Dept of Plastic SurgeryWashington, DC 20007-2113 · Phone (202) 444-1233 · Fax (202) 444-7422
Location 21400 Pressler St Unit 1488Houston, TX 77030 · Phone (713) 794-1247 · Fax (713) 794-5492

Other Identifiers 3

Medicaid387059401TX
Medicaid387059402TX
Other8JM813TX · Bcbs

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

Michael Vincent Defazio Md 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 ID5496019804
PECOS Enrollment IDI20190524001244
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 3

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 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.
46 services35 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.
28 services22 patients
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.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

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

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

Advance Care Plan
40%103 patients2/55-star benchmark: 100%
Breast Cancer Screening
2%166 patients1/55-star benchmark: 93%
Cervical Cancer Screening
1%230 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
4%247 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
34%531 patients1/55-star benchmark: 100%
e-Prescribing
99%457 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%96 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
19%378 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%357 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
4%475 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 52% · 261 patients
50%261 patients
Provide Patients Electronic Access to Their Health Information
97%95 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
46%41 patients1/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 109 patients
Patients totalRate: 24% · 109 patients
24%109 patients2/55-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

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

HANNAH DICKINSON
Physician Assistant
14546 OLD SAINT AUGUSTINE RD STE 407
JACKSONVILLE, FL 32258
Duval County (904) 262-3372

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 Michael Defazio's NPI number?

The NPI number for Michael Defazio is 1821354325. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Michael Defazio located?

Michael Defazio practices at 14546 Old Saint Augustine Rd Ste 407, Jacksonville, FL 32258. The listed phone number is (904) 262-3372.

What is Michael Defazio's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Michael Defazio enrolled in Medicare?

Yes. Michael Defazio 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 Michael Defazio accept?

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

According to CMS data, Michael Defazio is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Michael Defazio was last updated on August 1, 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.