KEVIN THOMPSON M.D.
NPI 1942627476
Family Medicine in Jacksonville, FL

Q: What is Kevin Thompson's NPI number?

The NPI number for Kevin Thompson is 1942627476. It was assigned to this individual provider in the NPPES registry on March 21, 2014.

Q: What is Kevin Thompson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Kevin Thompson enrolled in Medicare?

No. Kevin Thompson has opted out of Medicare through November 5, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kevin Thompson was last updated on December 9, 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.

Active since March 21, 2014Opted out of Medicare · through Nov 5, 2026

5530-1 FLORIDA MINING BLVD. S, JACKSONVILLE, FL 32257(904) 826-5001(904) 661-0021 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 9, 2019, Feb 1, 2017 (2 updates tracked since 2017).

On this page

About Kevin Thompson M.d. NPPES

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

KEVIN THOMPSON M.D. (NPI 1942627476) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME89343) and active in the NPI registry since March 2014. She has opted out of Medicare through November 5, 2026 and remains eligible to order and refer and maintains a secondary practice location in St Augustine.

NPPES Registry Identity

NPI1942627476

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKEVIN THOMPSONCredential: M.D.

Location Address5530-1 FLORIDA MINING BLVD. SJacksonville, FL 32257

Mailing Address1011 San Rafael StSt Augustine, FL 32080-5348 · (904) 540-5277

Phone(904) 826-5001

Fax(904) 661-0021

Sole ProprietorYes

Enumeration DateMarch 21, 2014

Last NPPES UpdateDecember 9, 20192 updates tracked since enumeration

✔ NPI 1942627476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME89343

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5530-1 FLORIDA MINING BLVD. S, Jacksonville, FL 32257

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Secondary Practice Location 1

Location 1721 A1A Beach Blvd, Suite 2St Augustine, FL 32080-4728 · Phone (904) 826-5001 · Fax (904) 661-0021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kevin Thompson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 5, 2018 through November 5, 2026.

Opt-Out Effective DateNovember 5, 2018

Opt-Out In Effect ThroughNovember 5, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32257 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

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kevin Thompson's NPI number?

The NPI number for Kevin Thompson is 1942627476. It was assigned to this individual provider in the NPPES registry on March 21, 2014.

Where is Kevin Thompson located?

Kevin Thompson practices at 5530-1 Florida Mining Blvd. S, Jacksonville, FL 32257. The listed phone number is (904) 826-5001.

What is Kevin Thompson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Thompson enrolled in Medicare?

No. Kevin Thompson has opted out of Medicare through November 5, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kevin Thompson was last updated on December 9, 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.