Active NPI
Jason Crespo, M.D.
- Plastic and Reconstructive Surgery Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME144916
- Practice address
- 125 W Copeland Dr
Orlando, FL 32806-2101 - Phone
- (218) 417-0903
- Fax
- (321) 843-2267
- NPI assigned
- Jun 5, 2013
- Last updated
- Apr 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 266170 | MA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME144916 | FL | Primary |
Addresses
Primary practice location
125 W Copeland Dr
Orlando, FL 32806-2101
Mailing address
125 W Copeland Dr
Orlando, FL 32806-2101
Phone (218) 417-0903
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drj@gardnerplasticsurgery.com | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Connecticut School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
62 Columbia St
Orlando, FL 32806-1115
Phone (321) 843-5851
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME144916 | FL | MD | Plastic and Reconstructive Surgery Physician |
| 266170 | MA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Mid-Florida Dermatology Associates P.a. | Current | Accepting new patients | |
| Gardner Plastic Surgery Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
1250 Pine Ridge Rd
Ste 101C
Naples, FL 34108
Phone (239) 566-2611
100 W Gore St
Ste 602
Orlando, FL 32806
Phone (407) 839-3999
125 W Copeland Dr
Orlando, FL 32806
Phone (321) 841-7090
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
62 Columbia St
Orlando, FL 32806
Phone (321) 214-4903
7652 Ashley Park Ct
Ste 305
Orlando, FL 32835
Phone (407) 839-0127
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Plastic Surgery Physician
- Naples, FL
- NPI 1639317290
-
dba NOLA Dermatology
- Dermatology Physician
- Orlando, FL
- NPI 1619018561
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1790123487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 W COPELAND DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062101",
"telephone_number": "218-417-0903",
"fax_number": "321-843-2267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W COPELAND DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062101",
"telephone_number": "218-417-0903",
"fax_number": "321-843-2267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESPO",
"first_name": "JASON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-05",
"last_updated": "2023-04-17",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MA",
"license": "266170",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME144916",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drj@gardnerplasticsurgery.com",
"affiliation": "N",
"endpointDescription": "nextech email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1250 Pine Ridge Rd Ste 101C",
"city": "Naples",
"state": "FL",
"country_code": "US",
"postal_code": "341088913",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.