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Deactivated NPI 1174618110 Deactivated / Inactive NPI Male Practitioner

Dr. Jay W Edelberg , MD

Emergency Medicine • St Augustine, FL

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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. Jay Edelberg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 04, 2006
NPI Deactivation Date January 17, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jay Edelberg, MD was a registered Emergency Medicine practicing in St Augustine, FL. Throughout an active medical career spanning 16 years, Dr. Edelberg provided care at the practice location at 400 HEALTH PARK BLVD until profile deactivation on 2022-01-17.

Historical Medicare Part B clinical services included emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making, emergency department visit with moderate level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

400 Health Park Blvd

St Augustine, FL 320865784

Telephone 9048264700
Fax 9043460113
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
8 Specialists

Practicing in St Augustine, FL (4182 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.7% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
44 44 $1616.36 $174.17
99283 Emergency department visit with low level of medical decision making
22 22 $616.00 $65.05
99284 Emergency department visit with moderate level of medical decision making
20 20 $938.80 $120.30
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
14 14 $71.43 $8.47

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License FL ME0026894

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Max Billingsley , MD

Emergency Medicine - Emergency Medical Services

NPI 1003874363

Doctor of Medicine (M.D.)

David Goins , PA

Physician Assistant

NPI 1003901935

Physician Assistant

Dr. Kenneth Aung-Din , MD

Emergency Medicine

NPI 1003912759

Doctor of Medicine (M.D.)

Dr. Teresa Mazur , MD

Emergency Medicine

NPI 1013002864

Doctor of Medicine (M.D.)

Dr. Paul Lucey , MD

Emergency Medicine

NPI 1013959709

Doctor of Medicine (M.D.)

Dr. Wilbur Augenstein , MD

Emergency Medicine - Emergency Medical Services

NPI 1013975507

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 17, 2022

Record deactivated on January 17, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 400 HEALTH PARK BLVD, ST AUGUSTINE, FL 320865784 (Tel: 9048264700)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 863639, ORLANDO, FL 328863639 (Tel: 9048270507)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAY EDELBERG, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #ME0026894 in FL)

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Initial NPI Registration & Enumeration October 04, 2006

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: 1174618110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 08, 2007
Deactivation Date: January 17, 2022

Mailing Address

Po Box 863639

Orlando, FL 328863639

Phone: 9048270507

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.