MR. JEFFREY MICHAEL GREEN PA-C
NPI 1912979584
Physician Assistant in Jacksonville, FL

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
4745 SUTTON PARK CT STE 501, JACKSONVILLE, FL 32224(904) 503-5464(904) 575-4399 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2023, May 1, 2023, Sep 14, 2022 and 3 more (6 updates tracked since 2017).

About Mr. Jeffrey Michael Green Pa-c NPPES

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

MR. JEFFREY MICHAEL GREEN PA-C (NPI 1912979584) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA3530) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center Beaches, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1912979584
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JEFFREY MICHAEL GREENCredential: PA-C
Location Address4745 SUTTON PARK CT STE 501Jacksonville, FL 32224-0251
Mailing Address2023 Myra StJacksonville, FL 32204-3714 · (904) 503-5464 · Fax (904) 575-4399
Fax(904) 575-4399
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 7, 2006
Last NPPES UpdateSeptember 11, 20236 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2023
NPI 1912979584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA3530
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4745 SUTTON PARK CT STE 501, Jacksonville, FL 32224

Secondary Practice Location 1

Location 12023 Myra StJacksonville, FL 32204-3714 · Phone (904) 503-5464 · Fax (904) 575-4399

Accepted 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

Mr. Jeffrey Michael Green 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 ID3577565183
PECOS Enrollment IDI20070212000297
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.

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.67
Improvement Activities40

Other Providers at the Same Location NPPES

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

Pain Medicine (Interventional Pain Medicine)
4745 SUTTON PARK CT STE 501
JACKSONVILLE, FL 32224

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 Jeffrey Green's NPI number?

The NPI number for Jeffrey Green is 1912979584. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Jeffrey Green located?

Jeffrey Green practices at 4745 Sutton Park Ct Ste 501, Jacksonville, FL 32224. The listed phone number is (904) 503-5464.

What is Jeffrey Green's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jeffrey Green enrolled in Medicare?

Yes. Jeffrey Green 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 Jeffrey Green accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Jeffrey Green 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 Jeffrey Green affiliated with any hospitals?

According to CMS data, Jeffrey Green is affiliated with Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Jeffrey Green was last updated on September 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.