Individual provider Active NPI

John Christopher Oeltjen, MD, PHD

  • Plastic Surgery Physician
  • Gainesville, FL
National Provider Identifier
1629099213
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME96192 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone
(352) 265-8402
Fax
(352) 627-4173
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME96192 FL
Plastic Surgery Physician 208200000X ME96192 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Mailing address

PO Box 100138
Gainesville, FL 32610-0138
Phone (352) 265-8402

Other practice location 1

8740 SW 88th St
Suite 218
Miami, FL 33176-2212
Phone (305) 974-1627

Other practice location 2

4037 NW 86th Ter
Gainesville, FL 32606-9281
Phone (352) 265-8402

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
I20070103000365 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Maxillofacial Surgery 4385644012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Baylor College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1475 NW 12TH
1 Umhc SCCC
Miami, FL 33136-1002
Phone (305) 243-8434

1475 NW 12TH Ave
Miami, FL 33136-1002

1475 NW 12TH Ave 1St FL
Miami, FL 33136-1002

1475 NW 12TH Ave 1St FLR
Miami, FL 33136-1002

1475 NW 12TH Ave 3Rd Floor
Umhc SCCC
Miami, FL 33136-1002
Phone (305) 243-8644

1475 NW 12TH Ave 4TH FLR Stem Cell
Umhc SCCC
Miami, FL 33136-1002
Phone (954) 831-2763

1475 NW 12TH Ave C
130 Umhc SCCC Alex's Place
Miami, FL 33136-1002
Phone (305) 243-6857

1475 NW 12TH Ave Courtelis Ctr
C021 Umhc SCCC
Miami, FL 33136-1002
Phone (305) 243-6387

1475 NW 12TH Ave Head and Neck Clinic
Umhc SCCC
Miami, FL 33136-1002
Phone (305) 585-7890

1475 NW 12TH Ave Opd
Umhc SCCC
Miami, FL 33136-1002
Phone (954) 493-8666

1600 SW Archer
Gainesville, FL 32610-3003

1600 SW Archer Rd
Gainesville, FL 32610-3003

1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535

1601 NW 12TH Ave
Miami, FL 33136-1005

1601 NW 12TH Ave 1St FL
Miami, FL 33136-1005

1601 NW 12TH Ave 1St FLR
Miami, FL 33136-1005

1601 NW 12TH Ave Room
2060 MCCD
Miami, FL 33136-1005
Phone (305) 585-5635

1601 NW 12TH Avenue 5065 /
5TH Mailman Center for Child Development
Miami, FL 33136-1005
Phone (305) 243-6251

1611 NW 12 Ave
Miami, FL 33136-1005

1611 NW 12 TH Ave
Jackson Memorial Hospital
Miami, FL 33136-1005
Phone (305) 355-5000

1611 NW 12TH
3B Jackson Memorial Hospital Acc West
Miami, FL 33136-1005
Phone (305) 585-7476

1611 NW 12TH Ave 2ND FL
Miami, FL 33136-1005

1611 NW 12TH Ave 2ND FLR
Miami, FL 33136-1005

1611 NW 12TH Ave 5TH Floor
Acc Clinic West JMH
Miami, FL 33136-1005
Phone (305) 243-4211

1611 NW 12TH Ave Acc E
Miami, FL 33136-1005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Nov 1, 2025 Accepting new patients
University of Miami Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 1, 2025 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
University of Miami Past Accepting new patients

Locations

5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 585-1052

3650 NW 82nd Ave
Ste 302
Doral, FL 33166
Phone (305) 798-1240

4037 NW 86th Ter
Gainesville, FL 32606
Phone (352) 265-0820

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

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

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

Organizations & group practices 5

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 9

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1629099213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100138",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100138",
            "telephone_number": "352-265-8402",
            "fax_number": "352-627-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-265-8402",
            "fax_number": "352-627-4173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8740 SW 88th St",
            "address_2": "Suite 218",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762212",
            "country_code": "US",
            "telephone_number": "305-974-1627",
            "fax_number": "305-596-6120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4037 NW 86th Ter",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326069281",
            "country_code": "US",
            "telephone_number": "352-265-8402",
            "fax_number": "352-627-4173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OELTJEN",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME96192",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME96192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.