Active NPI 1801058169 Individual Practitioner Male Practitioner

Dr. Brian Galen Andrew Dalton , MD

Surgery • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Dalton, MD is a certified Surgery practicing in Jacksonville, FL. With approximately 18 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2008, Dr. Dalton delivers high-quality medical care to the local community at 655 W 8TH ST.

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

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, new patient outpatient office visit, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

655 W 8th St

Jacksonville, FL 322096511

Telephone 9043831015

Fax 9042443870

Associated Practice Facility / Clinic

🏢 Shands Jacksonville Medical Center Inc Facility NPI 1821186313

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jacksonville, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -4.4 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

138 Specialists

Practicing in Jacksonville, FL (2030 Statewide)

Telehealth Adoption Rate

14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dalton (18 Years) 18 Yrs

Jacksonville Specialty Average (22.4 Years) 22.4 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	93	50	$115.00	$48.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$483.00	$164.02
99221 Initial hospital inpatient care per day, typically 30 minutes	51	50	$299.00	$81.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$310.00	$124.77
49650 Repair of groin hernia using an endoscope	30	30	$2585.00	$466.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$316.53	$107.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$403.00	$128.45
47562 Removal of gallbladder using an endoscope	23	23	$2321.00	$648.55
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$210.00	$84.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$126.00	$54.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	122	52	$115.00	$50.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$483.00	$165.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	38	$403.00	$129.13
99221 Initial hospital inpatient care per day, typically 30 minutes	39	39	$299.00	$84.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$315.41	$119.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$315.00	$108.24
49650 Repair of groin hernia using an endoscope	30	30	$2244.73	$496.90
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$210.00	$89.35
47562 Removal of gallbladder using an endoscope	15	15	$2321.00	$653.08
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$349.00	$18.25
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1121.00	$338.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	12	$209.00	$79.44
76937 Ultrasonic guidance for blood vessel access	14	14	$105.00	$14.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	88	49	$115.00	$39.38
99221 Initial hospital inpatient care per day, typically 30 minutes	52	52	$299.00	$102.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$483.00	$169.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$315.00	$113.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	18	$209.00	$71.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$310.00	$128.32
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$210.00	$85.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$269.07	$113.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	32	$184.59	$73.01
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$169.35	$89.06
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$260.50	$103.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	15	$113.61	$38.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$410.69	$162.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	38	27	$170.39	$73.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	15	$181.00	$74.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$259.00	$109.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$394.00	$164.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	41	$178.75	$74.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$254.79	$107.44
99213 Established patient office or other outpatient visit, typically 15 minutes	41	33	$164.10	$74.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$384.13	$161.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$246.63	$108.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	91	35	$168.19	$71.61
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$157.56	$71.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$242.65	$102.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$364.08	$164.36
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$235.00	$102.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$238.75	$93.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	20	$161.50	$72.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$234.23	$107.20
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$153.53	$70.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$446.67	$203.34

Medical Specialties & State Licenses

CMS Verified: 2021-08-27

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME126414

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License PA MD454268

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 35.122372

Surgery

NUCC Taxonomy Code: 208600000X

State License SC LL30950

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID South Carolina Board Of Medical Examiner's

LL30950 (SC)

Commercial Insurance / Payer ID Florida Board Of Medicine

ME126414 (FL)

Commercial Insurance / Payer ID Training Certificate

57.022483 (OH)

Commercial Insurance / Payer ID Pennsylvania Medical Board

MD454268 (PA)

Hospital & Practice Group Affiliations

North Florida Surgeons Pa

1370 13th Ave S, Jacksonville, FL 322503206

Phone: 9042473858

Practice Associates & Co-Workers

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

27 Associated Practitioners

Dr. Michael Cantrell , MD

Surgery

NPI 1003311184

Doctor of Medicine (M.D.)

Dr. Joseph Tepas , MD

Surgery

NPI 1124093653

Doctor of Medicine (M.D.)

Dr. Grant Woodruff , DO

Surgery

NPI 1124522198

Doctor of Osteopathic Medicine (D.O.)

Dr. Syed Abbas , MD

Surgery

NPI 1154611929

Doctor of Medicine (M.D.)

David Ebler

Surgery - Surgical Critical Care

NPI 1174776322

Pamela Pieper , MSN, PNP

Nurse Practitioner - Pediatrics

NPI 1194708065

Master of Science in Nursing, Pediatric Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address August 27, 2021

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

✅

NPI Profile Active August 21, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 21, 2017

Registered at 655 W 8TH ST, JACKSONVILLE, FL 322096511 (Tel: 9043831015)

📍

Updated Business Mailing Address August 21, 2017

Registered at PO BOX 44008, JACKSONVILLE, FL 322314008 (Tel: (904) 383-1015)

👤

Provider Name / Credentials Updated August 21, 2017

Recorded as BRIAN DALTON, M.D,

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2017

Surgery (License #35.122372 in OH)

✅

NPI Profile Active March 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2016

Registered at 333 COTTMAN AVE, PHILADELPHIA, PA 191112434 (Tel: 7708457410)

📍

Updated Business Mailing Address March 16, 2016

Registered at 1074 SORREL RD, HUNTINGDON VALLEY, PA 190063816 (Tel: 7708457410)

👤

Provider Name / Credentials Updated March 16, 2016

Recorded as BRIAN DALTON, M.D,

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2016

Surgery (License #MD454268 in PA)

🟢

Initial NPI Registration & Enumeration June 27, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1801058169

Entity Type:

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

Enumeration Date: June 27, 2008

Last Update: August 27, 2021

Sole Proprietor: No

Update or Correct Profile

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.