Active NPI
Jeffry W Misko, M.D.
- General Practice Physician
- Englewood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME117054
- Practice address
- 3000 S McCall Rd
Englewood, FL 34224-8616 - Phone
- (941) 548-1716
- Fax
- (941) 460-3006
- NPI assigned
- Jul 21, 2005
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 26800 | SC | |
| General Practice Physician | 208D00000X | ME117054 | FL | Primary |
Addresses
Primary practice location
3000 S McCall Rd
Englewood, FL 34224-8616
Mailing address
2675 Winkler Ave Ste 200
Fort Myers, FL 33901-9328
Phone (877) 856-3774
Other practice location 1
2450 Tamiami Trl Ste A
Port Charlotte, FL 33952-3922
Phone (941) 624-2704
Other practice location 2
1126 S 14th St
Fernandina Beach, FL 32034-2920
Phone (904) 432-3061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268007 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040512001243 | SC | Practitioner - Emergency Medicine | 9739179870 | Reassigns benefits to 1 organization |
| I20080102000601 | FL | Practitioner - Emergency Medicine | 9739179870 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Rutgers New Jersey Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Millennium Physician Group LLC
Practice addresses (Care Compare)
3000 S McCall Rd
Englewood, FL 34224-8616
Phone (941) 406-9029
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.52 of 100
- Quality
- 77.85
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles (13 of 15)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Conway Hospital Emergency Professional Services | Emergency Medicine | Current | Accepting new patients |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Nason Medical Center II, LLC | Past | Accepting new patients | |
| Nason Medical Center III, LLC | Past | Accepting new patients | |
| Port Charlotte Hma Physician Management LLC | Past | Accepting new patients | |
| Tidal Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Nason Medical Center IV, LLC | Past | Accepting new patients | |
| Nason Medical Center V, LLC | Past | Accepting new patients | |
| Port Charlotte Hma Physician Management LLC | Past | Accepting new patients | |
| St. Joseph Emergency Medical Physicians PA | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services, PA | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001
3000 S McCall Rd
Englewood, FL 34224
Phone (941) 406-9029
1126 S 14th St
Fernandina Beach, FL 32034
Phone (904) 432-3061
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
2675 Winkler Ave
Ste 200
Fort Myers, FL 33901
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
8500 State Road 70 E
Lakewood Ranch, FL 34202
Phone (941) 232-6532
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
2450 Tamiami Trl
Ste A
Pt Charlotte, FL 33952
Phone (941) 235-3447
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122
21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- jeffry.misko.1@4290.direct.athenahealth.com
Organizations & group practices 14
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Conway, SC
- NPI 1487844510
Emergency Medicine, SC
-
- Community/Retail Pharmacy
- Port Charlotte, FL
- NPI 1538509278
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Nurse Practitioner
- Port Charlotte, FL
- NPI 1306198502
-
- Family Medicine Physician
- Punta Gorda, FL
- NPI 1003985573
-
- Rural Health Clinic/Center
- Arcadia, FL
- NPI 1730672379
-
- Emergency Medicine Physician
- Port Charlotte, FL
- NPI 1053358903
Emergency Medicine
-
- Urgent Care Clinic/Center
- North Charleston, SC
- NPI 1467694182
-
- Urgent Care Clinic/Center
- North Charleston, SC
- NPI 1902136781
-
- Urgent Care Clinic/Center
- Charleston, SC
- NPI 1689972739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1982603809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE STE 200",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019328",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 S MCCALL RD",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342248616",
"telephone_number": "941-548-1716",
"fax_number": "941-460-3006"
}
],
"practiceLocations": [
{
"address_1": "2450 Tamiami Trl Ste A",
"address_purpose": "LOCATION",
"city": "Port Charlotte",
"state": "FL",
"postal_code": "339523922",
"country_code": "US",
"telephone_number": "941-624-2704",
"fax_number": "941-627-6066",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1126 S 14th St",
"address_purpose": "LOCATION",
"city": "Fernandina Beach",
"state": "FL",
"postal_code": "320342920",
"country_code": "US",
"telephone_number": "904-432-3061",
"fax_number": "904-432-3062",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISKO",
"first_name": "JEFFRY",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "26800",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME117054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268007",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.