Mayo Clinic Jacksonville ASC for G.I. – Ambulatory Surgical Clinic/Center, NPI 1962499079
Ambulatory Surgical Clinic/Center
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Mayo Clinic Jacksonville ASC for G.I.
Mayo Clinic Emergency Room, 4500, San Pablo Road South, Isle of Palms South, Jacksonville, Duval County, Florida, 32224, United States
JACKSONVILLE, FL 322241865
Phone: (904) 953-7355
Fax: (904) 953-1768
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2008-06-25
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 |
|---|---|---|---|---|
| O20080625000071 | O | Ambulatory Surgical Center | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 562 | 560 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 464 | 464 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 293 | 285 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 165 | 165 | $0 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 72 | 72 | $0 |
Insurance plans in this area (ZIP 32224)
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.