DR. GARY D. JOSEPHSON (MD) – Otolaryngology Physician, NPI 1144231671
Otolaryngology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. GARY D. JOSEPHSON (MD)
807 Childrens Way
JACKSONVILLE, FL 322078426
Phone: (904) 390-3690
Fax: (904) 390-3502
Type: Location
PO BOX 2147
FORT MYERS, FL 339022147
Phone: (239) 343-7474
Fax: (239) 343-4190
Type: Mailing
16410 HEALTHPARK COMMONS DR
FORT MYERS, FL 339089621
Phone: (239) 343-7474
Fax: (239) 343-4190
Type: Location
191, Mill Street, Rockport, Knox County, Maine, 04856, United States
PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 197320191
Phone: (302) 651-6212
Fax: (302) 651-4945
Type: Mailing
Nemours Children's Specialty Care, 807, Childrens Way, Jacksonville, Duval County, Florida, 32207, United States
JACKSONVILLE, FL 322078426
Phone: (904) 390-3690
Fax: (904) 390-3502
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $176.
Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Smith+Nephew, Inc. ($90).
Total Amount
$176
General + Research + Ownership
Payments
4
Total payment records
General Amount
$176
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $90 |
| Medtronic, Inc. | $86 |
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: 2010-03-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100318000861 | I | Otolaryngology | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32207)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.