Individual provider Active NPI

Jeffry W Misko, M.D.

  • General Practice Physician
  • Englewood, FL
National Provider Identifier
1982603809
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME117054 Issued in FL
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

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
268007MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 9830244433, 976 clinicians

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 100Reported as individual
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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles (13 of 15)

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Jul 1, 2022 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Conway Hospital Emergency Professional Services Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Millennium Physician Group LLC CurrentSince Jul 1, 2022 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

  • Direct secure messaging: 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.

View all 14

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

Verify at the official NPI Registry.