NPIMap

Individual provider Active NPI

Jeffrey Ryan Petrie, MD

  • Orthopaedic Surgery Physician
  • Davenport, FL
National Provider Identifier
1841510252
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME127696 Issued in FL
Practice address
401 Lionel Way
Suite 201
Davenport, FL 32804
Phone
(844) 407-4070
Fax
(407) 743-3050
NPI assigned
Jun 8, 2010
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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 ME127696 FL Primary

Addresses

Primary practice location

401 Lionel Way
Suite 201
Davenport, FL 32804

Mailing address

265 E Rollins St Ste 11100
Orlando, FL 32804-5570

Other identifiers 2

IdentifierTypeStateIssuer
018113200MedicaidFL
ME127696OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825001856 FL Practitioner - Orthopedic Surgery 2860638103 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

265 E Rollins St
Suite 11100
Orlando, FL 32804-5570
Phone (844) 407-4070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.03 of 100Reported as group
Quality
77.92
Promoting interoperability
99
Improvement activities
40
Cost
79.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement113
Knee replacement105

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Orthopaedic Surgery CurrentSince Mar 1, 2025 Accepting new patients
Orlando Health Medical Group Inc Orthopaedic Surgery CurrentSince Jul 15, 2016 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Rothman Orthopaedics of Florida,PLLC Orthopaedic Surgery CurrentSince May 10, 2021 Accepting new patients
Orlando Health Medical Group Inc Orthopaedic Surgery CurrentSince Jul 15, 2016 Accepting new patients
Rothman Orthopaedics of Florida,PLLC CurrentSince May 10, 2021 Accepting new patients

Locations

410 Lionel Way
Ste 201
Davenport, FL 33837
Phone (863) 422-5331

1141 Patterson Ter
Lake Mary, FL 32746

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

13887 Narcoossee Rd
Ste 200
Orlando, FL 32832

25 S Terry Ave
Ste 320
Orlando, FL 32805

265 E Rollins St
Ste 11100
Orlando, FL 32804
Phone (407) 502-6919

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

7975 Lake Underhill Rd
Ste 330
Orlando, FL 32822
Phone (407) 303-6566

2200 Fowler Grove Blvd
Ste 360
Winter Garden, FL 34787
Phone (407) 853-5333

255 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 647-6070

255 N Lakemont Ave
Ste 207
Winter Park, FL 32792
Phone (407) 852-5333

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1841510252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E ROLLINS ST STE 11100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LIONEL WAY",
            "address_2": "SUITE 201",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "32804",
            "telephone_number": "844-407-4070",
            "fax_number": "407-743-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "JEFFREY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME127696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018113200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME127696",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.