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Active NPI 1821354325 Individual Practitioner Male Practitioner

Dr. Michael Vincent Defazio , MD

Surgery - Plastic and Reconstructive Surgery • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Defazio, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Jacksonville, FL. With approximately 14 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 2012, Dr. Defazio delivers high-quality medical care to the local community at 14546 OLD SAINT AUGUSTINE RD STE 407.

Dr. Defazio is affiliated with North Florida Surgeons Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, implantation of biologic implant to soft tissue. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

14546 Old Saint Augustine Rd Ste 407

Jacksonville, FL 322585473

Telephone 9042623372
Fax 9042623306
Associated Practice Facility / Clinic
🏢 North Florida Surgeons, Pa Facility NPI 1912953290

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Jacksonville, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -12.3 yrs vs City Avg
City Avg: 26.3 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Jacksonville, FL (258 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Defazio (14 Years) 14 Yrs
Jacksonville Specialty Average (26.3 Years) 26.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
46 35 $250.13 $100.64
99213 Established patient office or other outpatient visit, typically 15 minutes
28 22 $158.57 $68.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
27 27 $428.56 $145.59

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License TX R6770

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
387059402 (TX)
Medicaid State Provider ID
387059401 (TX)
Commercial Insurance / Payer ID Bcbs
8JM813 (TX)

Hospital & Practice Group Affiliations

North Florida Surgeons Pa

14546 Old Saint Augustine Rd, Jacksonville, FL 322585473

Phone: 9042623372

Secondary Practice Locations

3800 Reservoir Rd Nw, Dept Of Plastic Surgery

Washington, DC 200072113

Phone: 2024441233

1400 Pressler St Unit 1488

Houston, TX 77030

Phone: 7137941247

Practice Associates & Co-Workers

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

7 Associated Practitioners
Hannah Dickinson

Physician Assistant

NPI 1154017606
Alana Weatherly , PA-C

Physician Assistant

NPI 1215378203

Physician Assistant (Certified)

Shannon Adams , PA-C

Physician Assistant

NPI 1518233378

Physician Assistant (Certified)

Dr. Joseph Parks , MD

Plastic Surgery

NPI 1558564591

Doctor of Medicine (M.D.)

Morgen Fletcher , PA-C

Physician Assistant

NPI 1801354675

Physician Assistant (Certified)

Dr. Michael Fallucco , MD

Plastic Surgery - Plastic Surgery Within the Head and Neck

NPI 1851594436

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location August 01, 2019

Registered at 14546 OLD SAINT AUGUSTINE RD STE 407, JACKSONVILLE, FL 322585473 (Tel: 9042623372)

📍
Updated Business Mailing Address August 01, 2019

Registered at 11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 322231627 (Tel: 9043961725)

👤
Provider Name / Credentials Updated August 01, 2019

Recorded as MICHAEL DEFAZIO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2018

Surgery (License #R6770 in TX)

📍
Updated Practice Location May 25, 2018

Registered at 1400 PRESSLER ST UNIT 1488, HOUSTON, TX 77030 (Tel: 7137941247)

📍
Updated Business Mailing Address May 25, 2018

Registered at 1400 PRESSLER ST UNIT 1488, HOUSTON, TX 770303722 (Tel: 7137941247)

👤
Provider Name / Credentials Updated May 25, 2018

Recorded as MICHAEL DEFAZIO, M.D.

NPI Profile Active April 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2012

Registered at 3800 RESERVOIR RD NW, DEPT OF PLASTIC SURGERY, WASHINGTON, DC 200072113 (Tel: 2024441233)

📍
Updated Business Mailing Address April 09, 2012

Registered at 3800 RESERVOIR RD NW, DEPT OF PLASTIC SURGERY, WASHINGTON, DC 200072113 (Tel: 2024441233)

👤
Provider Name / Credentials Updated April 09, 2012

Recorded as MICHAEL DEFAZIO, B.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2012

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 09, 2012

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: 1821354325
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2012
Last Update: August 01, 2019
Sole Proprietor: No

Mailing Address

11945 San Jose Blvd Ste 300

Jacksonville, FL 322231627

Phone: 9043961725

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.