Active NPI
Jeffrey Brian Comitalo, M.D.
- Surgery Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME74536
- Practice address
- 8333 N Davis Hwy
5TH Floor
Pensacola, FL 32514-6050 - Phone
- (850) 474-8342
- Fax
- (850) 969-2886
- NPI assigned
- Sep 6, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME74536 | FL | Primary |
Addresses
Primary practice location
8333 N Davis Hwy
5TH Floor
Pensacola, FL 32514-6050
Mailing address
8333 N Davis Hwy
5TH Floor
Pensacola, FL 32514-6050
Phone (850) 474-8342
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25329900 | Medicaid | FL | |
| 006517900 | Medicaid | FL | |
| 529909680 | Medicaid | AL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Medical College of Pennsylvania, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8333 N Davis Hwy
5TH Floor
Pensacola, FL 32514
Phone (850) 474-8342
Hospital & facility affiliations
- HCA Florida West Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.36 of 100
- Quality
- 79.8
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 14 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 15 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Specialty Physicians LLC | Current | Accepting new patients |
Locations
8333 N Davis Hwy
Fl 4
Pensacola, FL 32514
Phone (850) 474-8610
8333 N Davis Hwy
Fl 5
Pensacola, FL 32514
Phone (850) 474-8342
2130 E Johnson Ave
Ste 130
Pensacola, FL 32514
Phone (850) 494-3749
8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000
8333 N Davis Hwy
Fl 2
Pensacola, FL 32514
Phone (850) 474-8719
Interoperability endpoints
- jeffrey.comitalo@hca5.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Pensacola, FL
- NPI 1942538012
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1679567697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 N DAVIS HWY",
"address_2": "5TH FLOOR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146050",
"telephone_number": "850-474-8342",
"fax_number": "850-969-2886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 N DAVIS HWY",
"address_2": "5TH FLOOR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146050",
"telephone_number": "850-474-8342",
"fax_number": "850-969-2886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMITALO",
"first_name": "JEFFREY",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME74536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "25329900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006517900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529909680",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.