Deactivated NPI 1588659312 Deactivated / Inactive NPI Male Practitioner

Dr. Jack M Alexander , MD

Internal Medicine • Bradenton, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Alexander has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 19, 2005

NPI Deactivation Date July 26, 2023

Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Alexander, MD was a registered Internal Medicine practicing in Bradenton, FL. Throughout an active medical career spanning 18 years, Dr. Alexander provided care at the practice location at 315 75TH STREET WEST until profile deactivation on 2023-07-26.

Historical Medicare Part B clinical services included established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, blood test, clotting time. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

315 75th Street West

Bradenton, FL 342093201

Telephone 9417922211

Fax 8556222362

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bradenton, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.0 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

128 Specialists

Practicing in Bradenton, FL (10650 Statewide)

Telehealth Adoption Rate

19.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$225.00	$142.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	746	404	$225.00	$109.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	234	234	$341.00	$116.88
85610 Blood test, clotting time	161	18	$17.00	$4.25
93793 Anticoagulant management of patient taking warfarin	160	18	$39.00	$11.86
G0009 Administration of pneumococcal vaccine	43	43	$75.00	$16.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	17	$75.00	$14.27
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	39	39	$524.00	$172.80
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$153.00	$75.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$303.00	$147.63
93000 Routine ekg using at least 12 leads including interpretation and report	25	25	$67.00	$17.19
99496 Transitional care management services for problem of high complexity	24	21	$499.00	$245.83
90670 Pneumococcal vaccine for injection into muscle	22	22	$388.00	$223.84
99495 Transitional care management services for problem of at least moderate complexity	22	22	$355.00	$185.27
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$172.00	$117.52
83036 Hemoglobin A1C level	20	17	$41.00	$9.68
69210 Removal of impacted ear wax	17	17	$170.00	$49.40
77080 Dxa bone density measurement of hip, pelvis, spine	13	13	$304.00	$28.67
71046 X-ray of chest, 2 views	12	12	$74.67	$24.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$358.00	$166.75
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	11	11	$59.00	$30.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	708	393	$225.00	$108.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	305	305	$341.00	$115.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	274	211	$303.00	$145.87
85610 Blood test, clotting time	177	27	$17.00	$4.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	122	24	$43.00	$22.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	31	$75.00	$16.49
99213 Established patient office or other outpatient visit, typically 15 minutes	53	49	$153.00	$73.07
93793 Anticoagulant management of patient taking warfarin	49	18	$39.00	$12.05
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	43	43	$524.00	$171.38
G0009 Administration of pneumococcal vaccine	37	37	$75.00	$16.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$358.00	$165.43
99495 Transitional care management services for problem of at least moderate complexity	27	24	$355.00	$163.13
90670 Pneumococcal vaccine for injection into muscle	24	24	$388.00	$210.19
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$67.00	$16.97
71046 X-ray of chest, 2 views	20	19	$63.00	$19.94
J1040 Injection, methylprednisolone acetate, 80 mg	20	16	$25.00	$12.13
99496 Transitional care management services for problem of high complexity	19	18	$499.00	$230.59
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$481.00	$166.13
81002 Urinalysis, manual test	19	17	$11.00	$3.41
77080 Dxa bone density measurement of hip, pelvis, spine	14	14	$304.00	$29.11
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$172.00	$111.44
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	11	11	$59.00	$28.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	557	365	$303.00	$144.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	402	402	$341.00	$115.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	310	233	$225.00	$106.85
85610 Blood test, clotting time	220	31	$17.00	$4.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	215	31	$43.00	$21.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	88	29	$75.00	$20.03
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	67	13	$7.00	$1.99
G0009 Administration of pneumococcal vaccine	50	50	$75.00	$19.91
90670 Pneumococcal vaccine for injection into muscle	41	41	$388.00	$192.96
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	40	40	$524.00	$169.97
93000 Routine ekg using at least 12 leads including interpretation and report	36	36	$67.00	$16.80
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$481.00	$164.79
71046 X-ray of chest, 2 views	23	23	$66.04	$19.70
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$153.00	$72.39
81002 Urinalysis, manual test	22	20	$11.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$358.00	$164.78
77080 Dxa bone density measurement of hip, pelvis, spine	18	18	$304.00	$30.37
J1040 Injection, methylprednisolone acetate, 80 mg	16	14	$25.00	$13.02
99495 Transitional care management services for problem of at least moderate complexity	13	12	$355.00	$161.94
69210 Removal of impacted ear wax	12	11	$170.00	$48.80
G0008 Administration of influenza virus vaccine	11	11	$75.00	$19.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,125	12	$1.00	$0.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	722	401	$303.00	$143.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	570	366	$225.14	$106.23
85610 Blood test, clotting time	280	38	$17.00	$5.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	270	38	$43.00	$19.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	120	39	$75.00	$24.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	95	95	$341.00	$113.94
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	93	17	$7.00	$2.96
93000 Routine ekg using at least 12 leads including interpretation and report	48	48	$67.00	$16.78
71020 X-ray of chest, 2 views, front and side	32	31	$69.09	$16.75
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$153.00	$72.22
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$524.00	$168.51
77080 Dxa bone density measurement of hip, pelvis, spine	27	25	$284.15	$27.97
G0009 Administration of pneumococcal vaccine	22	22	$75.00	$24.61
J1040 Injection, methylprednisolone acetate, 80 mg	21	17	$25.00	$10.98
81002 Urinalysis, manual test	20	17	$11.00	$3.43
90670 Pneumococcal vaccine for injection into muscle	18	18	$388.00	$188.79
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	14	$174.00	$53.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$358.00	$163.54
72148 MRI scan of lower spinal canal	12	12	$1271.00	$141.78

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME44610

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Carlos Rodriguez Mendoza , MD

Internal Medicine

NPI 1245225077

Doctor of Medicine (M.D.)

Dr. Osvaldo Mardones , MD

Internal Medicine

NPI 1437144524

Doctor of Medicine (M.D.)

Sandra Lindstrom , PA

Nurse Practitioner

NPI 1821143652

Physician Assistant

Laura Schmitz , PA

Physician Assistant - Medical

NPI 1871943209

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated July 26, 2023

Record deactivated on July 26, 2023

✅

NPI Profile Active January 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2015

Registered at 315 75TH STREET WEST, BRADENTON, FL 342093201 (Tel: 9417922211)

📍

Updated Business Mailing Address January 30, 2015

Registered at 315 75TH STREET WEST, BRADENTON, FL 342093201 (Tel: 9417922211)

👤

Provider Name / Credentials Updated January 30, 2015

Recorded as JACK ALEXANDER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2015

Internal Medicine (License #ME44610 in FL)

🟢

Initial NPI Registration & Enumeration September 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Jack Alexander. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1588659312

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 19, 2005

Last Update: January 30, 2015

Deactivation Date: July 26, 2023

Update or Correct Profile

Mailing Address

315 75th Street West

Bradenton, FL 342093201

Phone: 9417922211

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.