Glenn Steven Avidon, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME 40282 Issued in FL

Practice address

PO Box 47
Deland, FL 32721-0047

Phone

(407) 468-4301

Fax

(407) 264-8168

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, NC, MD, GA4 enrollments

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 4

Specialty

Anesthesiology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, 908 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

Merit-based Incentive Payment System (MIPS)

Final score

81.02 of 100Reported as group

Quality

57.87

Promoting interoperability

100

Improvement activities

40

Cost

75.97

Merit-based Incentive Payment System (MIPS)

Final score

59.59 of 100Reported as apm

Quality

59.93

Promoting interoperability

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: gavidon710368@direct.shands.ufl.edu
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• University of Florida Jacksonville Physicians, Inc.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1144276452

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• CHS Anesthesia Services Group Inc

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1346649415
  Medicare reassignment NPD
• Maryland Anesthesia & Pain Management Services, P.C.

  • Anesthesiology Physician
  • Bel Air, MD
  • NPI 1871928812
  Medicare reassignment NPD
• Morganton Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Morganton, NC
  • NPI 1346828878
  Medicare reassignment NPD
• Gulf-to-Bay Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1720039746
  Medicare reassignment
• Gulf-to-Bay Anesthesiology Associates LLC

  • Pain Medicine (Anesthesiology) Physician
  • Riverview, FL
  • NPI 1497082655
  NPD
• University of Florida Jacksonville Physicians Inc

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1699935965
  NPD
• University of Florida Jacksonville Physicians, Inc.

  dba UF Health Imaging Center-Baymeadows

  • Physiological Laboratory
  • Jacksonville, FL
  • NPI 1831800952
  NPD
• Maryland Anesthesia & Pain Management Services, P.C.

  • Anesthesiology Physician
  • Bel Air, MD
  • NPI 1043052632
  NPD
• Maryland Anesthesia & Pain Management Services, PC

  • Anesthesiology Physician
  • La Plata, MD
  • NPI 1245072834
  NPD
• Morganton Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Valdese, NC
  • NPI 1831770536
  NPD
• Lake Shore Hma Medical Group LLC

  • Surgery Physician
  • Lake City, FL
  • NPI 1215256458

  Anesthesiology

  NPD (past)

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

• Shands Jacksonville Medical Center Inc

  • Urgent Care Clinic/Center
  • Jacksonville, FL
  • NPI 1144962408

  Hospital

  Care Compare affiliation
• Shands Jacksonville Medical Center Inc

  dba Shands Jacksonville

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1821186313
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1124138292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327210047",
            "telephone_number": "407-468-4301",
            "fax_number": "407-264-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327210047",
            "telephone_number": "407-468-4301",
            "fax_number": "407-264-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVIDON",
        "first_name": "GLENN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD423521",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME 40282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068418000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Atiles
• Atp Healthcare
• Michelle NMN Auguste, APRN
• Autumn French, LLC.
• Avalon Dental, LLC
• Christine A Aziz, M.D.
• Ellen Pamela Babanin, M.S., NCC
• Shannon Formas Badger, FNP-C
• Oksana Bailey, DMD
• Michelle Baker Rivera, LMFT

• Anesthesiology Physician in Deland, FL
• Providers in Deland, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.

Verify at the official NPI Registry.