Individual provider Active NPI

Timothy R Hastings, MD

  • Orthopaedic Surgery Physician
  • Jacksonville Beach, FL
National Provider Identifier
1568436582
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME101641 Issued in FL
Practice address
1557 Roberts Dr Ste 225
Credentialing Department
Jacksonville Beach, FL 32250
Phone
(904) 241-1204
Fax
(904) 241-7331
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME101641 FL Primary

Addresses

Primary practice location

1557 Roberts Dr Ste 225
Credentialing Department
Jacksonville Beach, FL 32250

Mailing address

PO Box 117345
Atlanta, GA 30368-7345
Phone (904) 346-3465

Other identifiers 2

IdentifierTypeStateIssuer
000389500MedicaidFL
P00680402OtherFLRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Joireferrals@joi.medalliesdirect.net Direct

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
I20080827000252 FL Practitioner - Orthopedic Surgery 8628144623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Warren Alpert Medical School of Brown University, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Jacksonville Orthopaedic Institute IncGroup PAC ID 5193625499, 60 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

1577 Roberts Dr
Suite 225And226
Jacksonville Beach, FL 32250-3264
Phone (904) 241-1204

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Improvement activities
40
Cost
74.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement22
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)13
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Orthopaedic Institute Inc Orthopaedic Surgery CurrentSince Jul 9, 2008 Accepting new patients
Jacksonville Orthopaedic Institute Inc Orthopaedic Surgery Past Accepting new patients

Locations

7740 Point Meadows Dr
Ste 7
Jacksonville, FL 32256
Phone (904) 202-6400

2 Shircliff Way
Ste 300
Jacksonville, FL 32204
Phone (904) 308-7959

1325 San Marco Blvd
Ste 200
Jacksonville, FL 32207
Phone (904) 346-3465

1577 Roberts Dr
Ste 225
Jacksonville Beach, FL 32250
Phone (904) 241-1204

1577 Roberts Dr
Ste 225226
Jacksonville Beach, FL 32250
Phone (904) 241-1204

Interoperability endpoints

  • Direct secure messaging: timothyhastings@joi.medalliesdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1568436582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117345",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687345",
            "telephone_number": "904-346-3465",
            "fax_number": "904-858-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 ROBERTS DR STE 225",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-241-1204",
            "fax_number": "904-241-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME101641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000389500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00680402",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Joireferrals@joi.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "Jacksonville Orthopaedic Institute",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HTML",
            "address_1": "1557 Roberts Dr Ste 225",
            "address_2": "Credentialing Department",
            "city": "Jacksonville Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.