Jerry Richard Foltz II, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME95194 Issued in FL

Practice address

4796 Hodges Blvd
Suite 101-104
Jacksonville, FL 32224

Phone

(904) 449-7246

Fax

(904) 719-7571

NPI assigned

Jan 26, 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

Other names 1

• Dr. Rick Foltz Other name

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

Uniformed Services Uhs Fe Hebert School of Med, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Institute of Pain Medicine LLCGroup PAC ID 4385769686, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
• Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
• Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerry.foltz@fpain.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Institute of Pain Medicine LLC

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1194056283

  FL, Pain Medicine

  Medicare reassignment Care Compare group NPD
• Northern Florida Anesthesia Services PLLC

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1033691050

  FL

  Medicare reassignment NPD Authorized official
• Florida Institute of Pain Medicine LLC

  • Pain Medicine (Anesthesiology) Physician
  • St Augustine, FL
  • NPI 1346710571
  Care Compare group Authorized official
• Florida Institute of Pain Medicine LLC

  • Interventional Pain Medicine Physician
  • Palm Coast, FL
  • NPI 1144913666

  Pain Medicine

  NPD Authorized official
• Florida PT Services LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1376299883
  NPD Authorized official
• Surgery Center Operations, LLC

  • Ambulatory Surgical Clinic/Center
  • Jacksonville, FL
  • NPI 1992384739
  NPD

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

• Baptist Medical Center of the Beaches, Inc

  • General Acute Care Hospital
  • Jacksonville Beach, FL
  • NPI 1821155912

  Hospital

  Care Compare affiliation
• Genesis Rehabilitation Hospital, Inc.

  • Rehabilitation Hospital
  • Jacksonville, FL
  • NPI 1376114413

  Inpatient rehabilitation facility

  Care Compare affiliation
• Genesis Rehabilitation Hospital, Inc.

  • Rehabilitation Hospital
  • Jacksonville, FL
  • NPI 1912947748

  Inpatient rehabilitation facility

  Care Compare affiliation
• Southern Baptist Hospital of Florida Inc

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1578620449

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1144290677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734905",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734905",
            "telephone_number": "904-449-7246",
            "fax_number": "904-719-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4796 HODGES BLVD",
            "address_2": "SUITE 101-104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32224",
            "telephone_number": "904-449-7246",
            "fax_number": "904-719-7571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2386 Dunn Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322184751",
            "country_code": "US",
            "telephone_number": "904-449-7246",
            "fax_number": "904-719-7571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLTZ",
        "first_name": "JERRY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME 95194",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME95194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100386600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICK",
            "last_name": "FOLTZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Follow Your Dream Farm Inc
• Karla Folry
• Alla Folsom, LMHC
• Renata Folstein, DDS
• Emily Rebecca Foltz- Holland, LMHC, LPC
• Megan Fonbah, APRN
• Bellanid Fonseca
• Stephanie Marie Font Diaz, MD
• Cristina Michelle Font, MD
• Emily Fontane, MD

• All providers in Jacksonville, FL
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.