Active NPI
Lincoln M Jimenez, MD
- Neurological Surgery Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME116162
- Practice address
- 2130 E Johnson Ave Ste 130
Pensacola, FL 32514-6065 - Phone
- (850) 494-6003
- Fax
- (850) 494-9636
- NPI assigned
- Jun 18, 2007
- Last updated
- Jun 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD61014044 | WA | |
| Neurological Surgery Physician | 207T00000X | ME116162 | FL | Primary |
Addresses
Primary practice location
2130 E Johnson Ave Ste 130
Pensacola, FL 32514-6065
Mailing address
2130 E Johnson Ave Ste 130
Pensacola, FL 32514-6065
Phone (850) 494-6003
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0225733 | Medicaid | OH | |
| 7100471960 | Medicaid | KY | |
| 1003011339 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2120 E Johnson Ave
Suite 106
Pensacola, FL 32514-6091
Phone (850) 494-3218
Hospital & facility affiliations
- HCA Florida West Hospital
- Sacred Heart Hospital
- HCA Florida Fort Walton-Destin Hospital
- HCA Florida Gulf Coast Hospital
- HCA Florida Twin Cities Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 98 |
| Laminectomy or laminotomy (partial removal of spine bones) | 50 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61014044 | WA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Specialty Physicians LLC | Current | Accepting new patients |
Locations
2120 E Johnson Ave
Ste 106
Pensacola, FL 32514
Phone (850) 494-6003
2130 E Johnson Ave
Ste 130
Pensacola, FL 32514
Phone (850) 494-3749
8333 N Davis Hwy
Fl 4
Pensacola, FL 32514
Phone (850) 474-8610
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Networks
- FL HMO
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- FL HMO D-SNP
- AL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- FL PPO
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- FL HMO C-SNP
Interoperability endpoints
- lincoln.jimenez@hca5.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Pensacola, FL
- NPI 1942538012
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
dba HCA Florida Fort Walton-Destin Hospital
- General Acute Care Hospital
- Fort Walton Beach, FL
- NPI 1639128820
-
dba HCA Florida Twin Cities Hospital
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
-
dba Ascension Sacred Heart Pensacola
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
-
dba HCA Florida West Hospital
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1003011339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 E JOHNSON AVE STE 130",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146065",
"telephone_number": "850-494-6003",
"fax_number": "850-494-9636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 E JOHNSON AVE STE 130",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146065",
"telephone_number": "850-494-6003",
"fax_number": "850-494-9636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "LINCOLN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "WA",
"license": "MD61014044",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME116162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0225733",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100471960",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003011339",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.