Individual provider Active NPI

Jason Frederick Miles, M.D.

  • Ophthalmology Physician
  • Gainesville, FL
National Provider Identifier
1194179630
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME145412 Issued in FL
Practice address
1600 SW Archer Rd
Suite 4102
Gainesville, FL 32610-3003
Phone
(352) 265-0239
Fax
(352) 265-1107
NPI assigned
Apr 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X FL
Ophthalmology Physician 207W00000X ME145412 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Suite 4102
Gainesville, FL 32610-3003

Mailing address

PO Box 100265
Gainesville, FL 32610-0265
Phone (352) 265-0239

Other identifiers 1

IdentifierTypeStateIssuer
107201700MedicaidFL

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
I20200721001626 FL Practitioner - OphthalmologyPractitioner - Emergency Medicine 9133414857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Florida State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

11945 San Jose Blvd
Jacksonville, FL 32223-1627
Phone (904) 396-1725

3780 US Hwy 1 S
St Augustine, FL 32086-7150
Phone (904) 561-2020

7051 Southpoint Pkwy S
Suite 300
Jacksonville, FL 32216-8713
Phone (904) 398-2720

750 3Rd St
Neptune Beach, FL 32266-5083
Phone (904) 564-2020

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery482

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2020 Accepting new patients
Florida Clinical Practice Association Inc Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients
North Florida Surgeons, PA CurrentSince Sep 1, 2021 Accepting new patients
North Florida Surgeons, PA CurrentSince Sep 1, 2021 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Ste 4102
Gainesville, FL 32610
Phone (352) 265-0023

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

11512 Lake Mead Ave
Unit 534
Jacksonville, FL 32256
Phone (904) 564-2020

7051 Southpoint Pkwy S
Ste 300
Jacksonville, FL 32216
Phone (904) 398-2720

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

3780 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 561-2020

Interoperability endpoints

  • Direct secure messaging: jason.miles.1@9109.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1194179630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100265",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100265",
            "telephone_number": "352-265-0239",
            "fax_number": "352-265-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "SUITE 4102",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-265-0239",
            "fax_number": "352-265-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "JASON",
        "middle_name": "FREDERICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-21",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME145412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107201700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.