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ALYSSA A PAETAU MD
NPI 1851530216
Surgery in Jacksonville, FL

Active since February 09, 2009PECOS Enrolled
79.26/100
CMS Quality Rating
14540 OLD SAINT AUGUSTINE RD, SUITE 2571, JACKSONVILLE, FL 32258(904) 886-2251(904) 886-7151 Get Directions Write a Review

NPPES record last updated: October 12, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 12, 2019, May 19, 2016 (2 updates tracked since 2016).

About Alyssa A Paetau Md NPPES

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

ALYSSA A PAETAU MD (NPI 1851530216) is an individual surgery provider in Jacksonville, Florida, licensed in Florida (ME102450) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851530216
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameALYSSA A PAETAUCredential: MD
Location Address14540 OLD SAINT AUGUSTINE RD, SUITE 2571Jacksonville, FL 32258-7418
Mailing Address11945 San Jose Blvd Ste 300Jacksonville, FL 32223-1627 · (904) 396-1725 · Fax (904) 396-4893
Phone(904) 886-2251
Fax(904) 886-7151
Sole ProprietorNo
Enumeration DateFebruary 9, 2009
Last NPPES UpdateOctober 12, 20192 updates tracked since enumeration
✔ NPI 1851530216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME102450
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.
14540 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa A Paetau Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32258 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

Cervical Cancer Screening
55%20 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
81%26 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
52%104 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
29%21 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
88%48 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%39 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%58 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 83% · 95 patients
83%95 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 22 patients
Patients totalRate: 5% · 22 patients
5%22 patients4/55-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 11

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

BAPTIST MD ANDERSON CANCER PHYSICIANS INC
Obstetrics & Gynecology (Gynecologic Oncology)
14540 OLD SAINT AUGUSTINE RD, SUITE 2593
JACKSONVILLE, FL 32258
Duval County (904) 389-3993
JOHN MICHAEL TIERNEY PA
Physician Assistant
14540 OLD SAINT AUGUSTINE RD, SUITE 2201
JACKSONVILLE, FL 32258
Duval County (904) 880-1260
DR. BENJAMIN M PIPERNO MD
Surgery
14540 OLD SAINT AUGUSTINE RD, SUITE 2571
JACKSONVILLE, FL 32258
Duval County (904) 886-2251
DR. CAMERON DAVID ADKISSON MD
Surgery
14540 OLD SAINT AUGUSTINE RD, 2571
JACKSONVILLE, FL 32258
Duval County (904) 886-2251
ALANA MICHELLE WEATHERLY PA-C
Physician Assistant
14540 OLD SAINT AUGUSTINE RD, SUITE 2391
JACKSONVILLE, FL 32258
Duval County (904) 262-3372
MRS. CHRISTI BURNETT PAUL ARNP
Nurse Practitioner (Family)
14540 OLD SAINT AUGUSTINE RD, SUITE 2207
JACKSONVILLE, FL 32258
Duval County (904) 807-9112
DR. JEFFERSON R. EDWARDS III M.D.
Surgery
14540 OLD SAINT AUGUSTINE RD, SUITE 2571
JACKSONVILLE, FL 32258
Duval County (904) 886-2251
LINDSAY CHOATE
Physician Assistant
14540 OLD SAINT AUGUSTINE RD, SUITE 2317
JACKSONVILLE, FL 32258
Duval County (904) 880-9696

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 Alyssa Paetau's NPI number?

The NPI number for Alyssa Paetau is 1851530216. It was assigned to this individual provider in the NPPES registry on February 9, 2009.

Where is Alyssa Paetau located?

Alyssa Paetau practices at 14540 Old Saint Augustine Rd Suite 2571, Jacksonville, FL 32258. The listed phone number is (904) 886-2251.

What is Alyssa Paetau's specialty?

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

Is Alyssa Paetau enrolled in Medicare?

Yes. Alyssa Paetau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa Paetau was last updated on October 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.