Individual provider Active NPI

Evan M Packer, MD

  • Neurological Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1114985884
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME84903 Issued in FL
Practice address
800 Meadows Rd
Boca Raton, FL 33486-2304
Phone
(561) 955-4600
Fax
(561) 955-3259
NPI assigned
May 3, 2006
Last updated
May 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME84903 FL Primary

Addresses

Primary practice location

800 Meadows Rd
Boca Raton, FL 33486-2304

Mailing address

1001 NW 13TH St Ste 201
Boca Raton, FL 33486-2269
Phone (561) 955-6663

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051108000836 FL Practitioner - Neurosurgery 0042238032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of South Florida College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Consultants of South Florida LLCGroup PAC ID 9931091204, 9 clinicians
Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

4675 Linton Blvd
Suite 102
Delray Beach, FL 33445-6615
Phone (561) 501-7445

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 955-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.84 of 100Reported as individual
Quality
89.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion225
Laminectomy or laminotomy (partial removal of spine bones)27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Consultants of South Florida, LLC Neurological Surgery CurrentSince Sep 1, 2005 Accepting new patients
Bocacare Inc Neurological Surgery CurrentSince Sep 26, 2016 Accepting new patients
Bocacare Inc CurrentSince Sep 26, 2016 Accepting new patients
Neurosurgical Consultants of South Florida LLC Neurological Surgery CurrentSince Sep 1, 2005 Accepting new patients

Locations

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

670 Glades Rd
Ste 100
Boca Raton, FL 33431
Phone (561) 392-8855

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

4675 Linton Blvd
Ste 102
Delray Beach, FL 33445
Phone (561) 496-2525

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

3365 Burns Rd
Ste 208
Palm Beach Gardens, FL 33410
Phone (443) 782-7179

Interoperability endpoints

  • Direct secure messaging: evan.packer.1@26289.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1114985884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NW 13TH ST STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862269",
            "telephone_number": "561-955-6663",
            "fax_number": "561-955-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEADOWS RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862304",
            "telephone_number": "561-955-4600",
            "fax_number": "561-955-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "EVAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME84903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.