Active NPI 1265973168 Individual Practitioner Male Practitioner

Dr. Michael Adalia , DNP

Nurse Practitioner • Jacksonville, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Adalia, DNP is a certified Nurse Practitioner practicing in Jacksonville, FL. With approximately 10 years of clinical experience since completing medical education in 2016, Dr. Adalia delivers high-quality medical care to the local community at 4500 SAN PABLO RD S.

Dr. Adalia 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 established patient outpatient office visit, new patient outpatient office visit, 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. 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

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jacksonville, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +0.3 yrs vs City Avg

City Avg: 9.7 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

879 Specialists

Practicing in Jacksonville, FL (8990 Statewide)

Telehealth Adoption Rate

28.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

78.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Adalia (10 Years) 10 Yrs

Jacksonville Specialty Average (9.7 Years) 9.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	289	261	$312.00	$74.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$474.00	$92.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	46	$192.00	$46.44
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	28	28	$71.00	$13.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	321	303	$182.00	$47.36
99213 Established patient office or other outpatient visit, typically 15 minutes	195	174	$296.00	$75.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$456.00	$94.21
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$117.00	$46.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	354	259	$296.00	$76.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	307	285	$182.00	$47.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$456.00	$95.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	21	$450.00	$108.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	15	$452.00	$87.58
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$517.00	$87.06
11042 Removal of skin and tissue, 20.0 sq cm or less	18	15	$398.00	$109.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	324	257	$99.53	$75.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	198	191	$57.64	$47.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$119.23	$95.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	36	$161.73	$105.31
29580 Strapping, unna boot	33	19	$63.48	$56.75
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$102.57	$87.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	12	$144.73	$43.29

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	272	205	$132.99	$86.98
99213 Established patient office or other outpatient visit, typically 15 minutes	245	229	$84.66	$62.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$115.17	$91.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	22	$104.66	$61.70
11042 Removal of skin and tissue, 20.0 sq cm or less	16	12	$188.60	$80.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	11	$179.96	$116.46
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$42.66	$36.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	424	364	$85.27	$61.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	137	$131.88	$90.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$121.97	$91.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	29	$85.33	$62.06
99238 Hospital discharge day management, 30 minutes or less	13	12	$100.30	$62.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	11	$160.06	$122.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$181.49	$139.37

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	291	199	$113.51	$90.55
99213 Established patient office or other outpatient visit, typically 15 minutes	272	246	$80.68	$60.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$172.12	$139.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	25	$151.46	$122.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	11	$40.14	$33.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	16	$75.97	$62.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$111.51	$91.55

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	110	78	$121.70	$87.64
99213 Established patient office or other outpatient visit, typically 15 minutes	84	77	$73.17	$61.19
97597 Removal of tissue from wound, 20.0 sq cm or less	34	11	$81.54	$60.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$165.71	$138.60

Medical Specialties & State Licenses

CMS Verified: 2020-08-31

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP9288780

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

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 MICHAEL ADALIA, DNP

🎓

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

Nurse Practitioner (License #ARNP9288780 in FL)

✅

NPI Profile Active March 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 13, 2017

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

📍

Updated Business Mailing Address March 13, 2017

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

👤

Provider Name / Credentials Updated March 13, 2017

Recorded as MICHAEL ADALIA, D.N.P, AG-ACNP

🎓

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

Nurse Practitioner (License #ARNP 9288780 in FL)

🟢

Initial NPI Registration & Enumeration March 13, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1265973168

Entity Type:

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

Enumeration Date: March 13, 2017

Last Update: August 31, 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.