MATTHEW REYNOLDS MCCANN (MD) – Internal Medicine Physician, NPI 1124521992

MATTHEW REYNOLDS MCCANN (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 70432 (TN). The NPI Number for MATTHEW REYNOLDS MCCANN (MD) is 1124521992

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW REYNOLDS MCCANN (MD)
NPI
1124521992
Phone
(904) 953-2000
Address
4500 SAN PABLO RD S
Enumeration Date
17 March 2018
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2567054294
Graduation Year
2018 (8 years ago)
PAC ID
8123375318
Group Practice PAC ID
4486704111
Professional Enrollment ID
I20240520001243
Address ID
AL358052606HU3601XNWXX400

Contacts

Secure Messaging
mmccann391458@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness95
Years active:8State licenses:2Other names

3,175 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for MATTHEW REYNOLDS MCCANN (MD)

  • San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States

    JACKSONVILLE, FL 322241865

    Phone: (904) 953-2000

    Type: Mailing

  • 4500 San Pablo Rd S

    Jacksonville, FL 32224

    Phone: (904) 953-2000

    Type: Location

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372320001

    Phone: (615) 322-5000

    Type: Location

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230626000650IDiagnostic RadiologyFLTBD
I20240520001243IDiagnostic RadiologyALTBD
I20240708000510IDiagnostic RadiologyTNTBD
I20260116000451IDiagnostic RadiologyKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view182129$0
71046X-ray of chest, 2 views6968$0
71275Ct scan of blood vessels of chest with contrast2020$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486704111View full group profile
NameSpecialtyState
Diagnostic RadiologyAL
Diagnostic RadiologyMS
Diagnostic RadiologyAL
Diagnostic RadiologyAL
Diagnostic RadiologyAL
Diagnostic RadiologyAL
Diagnostic RadiologyAL
Diagnostic RadiologyMS
-AL
Diagnostic RadiologyAL

Reviews

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Frequently asked questions

How is MATTHEW REYNOLDS MCCANN (MD) identified in CMS data?
CMS-hosted NPPES data lists MATTHEW REYNOLDS MCCANN (MD) with NPI 1124521992.
Does CMS list MATTHEW REYNOLDS MCCANN (MD) as active?
Yes — MATTHEW REYNOLDS MCCANN (MD) is active in the NPI listing used on this page.
What taxonomy line describes MATTHEW REYNOLDS MCCANN (MD)?
For research purposes, treat MATTHEW REYNOLDS MCCANN (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MATTHEW REYNOLDS MCCANN (MD) on a map?
Expect Jacksonville, Florida as a primary anchor for MATTHEW REYNOLDS MCCANN (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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