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MR. MATTHEW J GILES PA-C
NPI 1942371240
Physician Assistant in Jacksonville, FL

Active since November 10, 2006PECOS Enrolled
79.26/100
CMS Quality Rating
11705 SAN JOSE BLVD STE 103, JACKSONVILLE, FL 32223(904) 880-0911(904) 880-9388 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2018, Jan 18, 2016, Dec 4, 2015 (3 updates tracked since 2015).

About Mr. Matthew J Giles Pa-c NPPES

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

MR. MATTHEW J GILES PA-C (NPI 1942371240) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9103350) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942371240
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MATTHEW J GILESCredential: PA-C
Location Address11705 SAN JOSE BLVD STE 103Jacksonville, FL 32223-1653
Mailing Address11945 San Jose Blvd Ste 300Jacksonville, FL 32223-1627 · (904) 396-1725 · Fax (904) 396-4893
Phone(904) 880-0911
Fax(904) 880-9388
Sole ProprietorNo
Enumeration DateNovember 10, 2006
Last NPPES UpdateJune 26, 20193 updates tracked since enumeration
✔ NPI 1942371240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9103350
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9103350 (FL)
11705 SAN JOSE BLVD STE 103, Jacksonville, FL 32223
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Secondary Practice Locations 2

Location 11301 Plantation Island Dr S, 401St Augustine, FL 32080-3108 · Phone (904) 461-6060
Location 24500 San Pablo Rd SJacksonville, FL 32224 · Phone (904) 953-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Matthew J Giles Pa-c 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.

Areas of Expertise CMS Part B claims 8

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 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.
149 services90 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
103 services63 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.
64 services56 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.
39 services39 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
31 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32223 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

Advance Care Plan
100%47 patients5/55-star benchmark: 100%
Breast Cancer Screening
0%30 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%56 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
31%83 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
2%82 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
100%212 patients5/55-star benchmark: 100%
e-Prescribing
99%695 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%44 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
38%178 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%196 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
15%196 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 98% · 131 patients
96%131 patients
Provide Patients Electronic Access to Their Health Information
95%436 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 46 patients
Patients totalRate: 0% · 46 patients
0%46 patients5/55-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.

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.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers11 claims65 services$1.68 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers19 claims19 services$29.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Matthew Giles's NPI number?

The NPI number for Matthew Giles is 1942371240. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Matthew Giles located?

Matthew Giles practices at 11705 San Jose Blvd Ste 103, Jacksonville, FL 32223. The listed phone number is (904) 880-0911.

What is Matthew Giles's specialty?

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

Is Matthew Giles enrolled in Medicare?

Yes. Matthew Giles is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Giles accept?

Health plans from AvMed and UnitedHealthcare list Matthew Giles 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.

When was this NPI record last updated?

The NPPES record for Matthew Giles was last updated on June 26, 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.