JAY M HAGLOCH (MD) – Family Medicine Physician, NPI 1134110075

JAY M HAGLOCH (MD) is a healthcare provider. based in Rockledge, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME81087 (FL). The NPI Number for JAY M HAGLOCH (MD) is 1134110075

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
JAY M HAGLOCH (MD)
NPI
1134110075
Phone
(321) 984-1333
Address
3300 S FISKE BLVD
Enumeration Date
31 October 2005
Last Update Date
10 May 2018

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3219841333
Graduation Year
1997 (29 years ago)
PAC ID
9537231642
Group Practice PAC ID
7416100672
Professional Enrollment ID
I20100216000483
Address ID
FL329032858IN1220XA1AX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for JAY M HAGLOCH (MD)

  • Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States

    ROCKLEDGE, FL 329554306

    Phone: (321) 984-1333

    Fax: (321) 951-7408

    Type: Mailing

  • 1220 N HIGHWAY A1A STE 147

    INDIALANTIC, FL 329032858

    Phone: (321) 984-1333

    Fax: (321) 951-9127

    Type: Location

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: 2010-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100216000483IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes454228$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit253253$0
99213Established patient office or other outpatient visit, 20-29 minutes249158$0
G0009Administration of pneumococcal vaccine6969$0
99495Transitional care management services for problem of at least moderate complexity4736$0
View full utilization report →

Insurance plans in this area (ZIP 32955)

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Provider's Procedures

JAY M HAGLOCH (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL85610Blood test, clotting time6711

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: 7416100672View full group profile
NameSpecialtyState
-FL
General SurgeryFL
Internal MedicineFL
-FL
-FL
Physical Medicine And RehabilitationFL
Family PracticeFL
G A S T R O E N T E R O L O G YFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find JAY M HAGLOCH (MD)'s NPI?
You can confirm JAY M HAGLOCH (MD) with NPI 1134110075; it appears in the national provider directory.
Is JAY M HAGLOCH (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JAY M HAGLOCH (MD)?
The page reflects Family Medicine Physician for JAY M HAGLOCH (MD). Clinical services aligned with this taxonomy classification.
What location shows for JAY M HAGLOCH (MD)?
We surface Rockledge, Florida for JAY M HAGLOCH (MD) based on available NPPES addresses.
What if Rockledge, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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