Active NPI 1679737563 Individual Practitioner Male Practitioner

Dr. Ivan Porter , MD

Internal Medicine - Nephrology • Jacksonville, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ivan Porter, MD is a certified Internal Medicine - Nephrology practicing in Jacksonville, FL. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Porter delivers high-quality medical care to the local community at 4500 SAN PABLO RD S.

Dr. Porter is affiliated with Mayo Clinic Jacksonville and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000

Associated Practice Facility / Clinic

🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Jacksonville, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -4.3 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

81 Specialists

Practicing in Jacksonville, FL (865 Statewide)

Telehealth Adoption Rate

40.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

76.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Porter (18 Years) 18 Yrs

Jacksonville Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	235	97	$469.00	$115.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	71	$829.00	$169.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	50	$473.00	$119.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	35	$637.00	$156.30
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$851.00	$215.66
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	21	20	$71.00	$16.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	248	102	$452.00	$120.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	85	81	$877.00	$175.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	65	$450.00	$124.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	51	$604.00	$165.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$891.00	$212.19
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$296.00	$81.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$707.00	$166.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	418	129	$452.00	$102.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	97	88	$877.00	$198.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	61	$450.00	$127.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$707.00	$168.40
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$296.00	$90.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$891.00	$209.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$604.00	$180.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	385	135	$107.27	$104.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	90	88	$208.64	$202.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	81	$144.60	$126.47
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	81	16	$362.10	$364.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	44	44	$253.56	$216.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$169.08	$170.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	29	$181.61	$182.99
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$107.06	$88.33
90935 Hemodialysis procedure with physician evaluation	17	14	$73.51	$74.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	444	185	$129.25	$101.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	119	111	$212.35	$206.97
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	104	22	$290.65	$293.24
90935 Hemodialysis procedure with physician evaluation	96	62	$117.40	$71.00
90945 Dialysis procedure including 1 evaluation	76	30	$115.33	$84.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	57	$119.50	$108.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$203.04	$161.05
99213 Established patient office or other outpatient visit, typically 15 minutes	37	35	$80.89	$73.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$250.48	$206.48
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	31	19	$284.35	$246.10
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	19	$25.39	$20.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$108.33	$108.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$146.87	$148.82
99239 Hospital discharge day management, more than 30 minutes	17	17	$151.02	$96.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	363	189	$120.88	$100.03
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	113	31	$315.19	$273.50
90935 Hemodialysis procedure with physician evaluation	101	51	$81.83	$71.01
99213 Established patient office or other outpatient visit, typically 15 minutes	85	72	$89.23	$68.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$208.44	$151.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	59	$128.79	$100.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	47	$249.49	$190.88
90945 Dialysis procedure including 1 evaluation	31	13	$142.25	$82.51
93784 Ambulatory blood pressure monitoring, 1 day or longer, with recording, scanning analysis, interpretation, and report	27	27	$81.77	$48.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$258.10	$189.01
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	21	15	$264.68	$229.67
99239 Hospital discharge day management, more than 30 minutes	19	19	$155.48	$92.02
99220 Hospital observation care, typically 70 minutes	16	16	$206.76	$178.95
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$113.87	$98.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	14	$81.06	$70.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$160.06	$137.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	12,750	19	$1.62	$0.86
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use)	11,475	39	$4.61	$3.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	351	149	$111.09	$99.12
90935 Hemodialysis procedure with physician evaluation	166	72	$92.06	$68.64
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	112	27	$419.13	$266.32
90945 Dialysis procedure including 1 evaluation	94	22	$82.23	$80.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	89	36	$21.16	$18.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	46	$91.72	$67.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$181.00	$156.03
99213 Established patient office or other outpatient visit, typically 15 minutes	64	55	$91.40	$64.37
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	56	23	$328.49	$209.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	54	$143.16	$130.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	51	$121.66	$101.28
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	53	53	$226.70	$196.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	50	$215.69	$193.78
93784 Ambulatory blood pressure monitoring, 1 day or longer, with recording, scanning analysis, interpretation, and report	44	44	$86.02	$48.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	34	$154.23	$136.82
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	27	20	$87.38	$65.64
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	16	$22.62	$19.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$47.28	$41.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use)	10,105	46	$3.91	$3.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	302	137	$124.21	$97.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	157	79	$85.14	$67.32
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	154	27	$291.90	$259.98
90935 Hemodialysis procedure with physician evaluation	125	59	$80.56	$67.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$179.98	$155.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	88	42	$25.92	$23.48
90945 Dialysis procedure including 1 evaluation	67	32	$82.38	$81.06
99213 Established patient office or other outpatient visit, typically 15 minutes	63	57	$83.53	$67.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	60	60	$224.86	$195.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	59	$129.97	$97.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	56	$143.92	$130.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	55	$209.99	$193.18
93784 Ambulatory blood pressure monitoring, 1 day or longer, with recording, scanning analysis, interpretation, and report	48	48	$70.50	$48.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	40	$155.37	$135.89
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	36	24	$296.91	$225.15
99239 Hospital discharge day management, more than 30 minutes	22	21	$110.54	$101.83
99217 Hospital observation care on day of discharge	12	12	$96.02	$63.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$107.46	$105.74

Medical Specialties & State Licenses

CMS Verified: 2020-08-28

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License FL ME105068

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Hospital & Practice Group Affiliations

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

Dr. Ricardo Pagan , MD

Hospitalist

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 13, 2017

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍

Updated Business Mailing Address December 13, 2017

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865

👤

Provider Name / Credentials Updated December 13, 2017

Recorded as IVAN PORTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Internal Medicine (License #ME105068 in FL)

✅

NPI Profile Active August 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2011

Registered at 4500 SAN PABLO RD S, PROVIDER ENROLLMENT, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍

Updated Business Mailing Address August 05, 2011

Registered at 4500 SAN PABLO RD S, PROVIDER ENROLLMENT, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

👤

Provider Name / Credentials Updated August 05, 2011

Recorded as IVAN PORTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2011

Internal Medicine (License #ME105068 in FL)

🟢

Initial NPI Registration & Enumeration July 10, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679737563

Entity Type:

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

Enumeration Date: July 10, 2008

Last Update: August 28, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

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.