Michael J Petr, MD, PHD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME98433 Issued in FL

Practice address

7807 Baymeadows Rd E Ste 208
Jacksonville, FL 32256-9666

Phone

(904) 446-9991

NPI assigned

May 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Neurosurgery

Education

Loyola University of Chicago, Stritch School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jacksonville Brain and Spine PLLCGroup PAC ID 1456611359, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Flagler Home Care LLC Home health agency, Saint Augustine, FL, CCN 108211
• Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
• HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179
• Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpetr743548@direct.shands.ufl.edu
• Direct secure messaging: michaelpetr@jbsp.allscriptsdirect.net

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.

• Jacksonville Brain & Spine PLLC

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1336651009
  Medicare reassignment Care Compare group NPD Authorized official

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
  Care Compare affiliation
• Flagler Home Care, LLC

  • Home Health Agency
  • St Augustine, FL
  • NPI 1649791823
  Care Compare affiliation
• Flagler Hospital Inc

  • General Acute Care Hospital
  • St Augustine, FL
  • NPI 1144211020
  Care Compare affiliation
• Flagler Hospital, Inc.

  • Urgent Care Clinic/Center
  • St Augustine, FL
  • NPI 1447527965

  Hospital

  Care Compare affiliation
• Memorial Healthcare Group Inc

  dba HCA Florida Memorial Hospital

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1447206438
  Care Compare affiliation

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1477754513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 BAYMEADOWS RD E STE 208",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569666",
            "telephone_number": "904-330-0302",
            "fax_number": "904-330-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 BAYMEADOWS RD E STE 208",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569666",
            "telephone_number": "904-446-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETR",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME98433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "749600040A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2784815-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Kenneth Peterson, M.D.
• Ruby D Peterson
• Tysheana Peterson
• Lynn-Shaina Petit-Frere
• Petite Consulting Inc
• Kimberly Marie Petragnani, ARNP
• Ylan Petranick
• Phillip Petrasko
• Adriana Petretska, M.D.
• Michele Francesco Petrilli, DC

• Neurological Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.