DR. NESTOR OMAR CANCIO MORALES M.D.
NPI 1013183409
Internal Medicine - Pulmonary Disease in Miami, FL

Active since May 05, 2008PECOS EnrolledAccepts Medicare Assignment
3663 S MIAMI AVE, STE 3325, MIAMI, FL 33133(305) 856-1461 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nestor Omar Cancio Morales M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NESTOR OMAR CANCIO MORALES M.D. (NPI 1013183409) is an individual pulmonary disease provider in Miami, Florida, licensed in Florida (ME122567) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1013183409
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. NESTOR OMAR CANCIO MORALESCredential: M.D.
Location Address3663 S MIAMI AVE, STE 3325Miami, FL 33133-4253
Mailing Address3663 S Miami Ave, Ste 3325Miami, FL 33133-4253 · (305) 856-1461
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 5, 2008
Last NPPES UpdateMarch 8, 2016
NPI 1013183409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in FL · ME122567
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 263094 (NY)
3663 S MIAMI AVE, Miami, FL 33133

Other Identifiers 2

Medicare PIN855IFL
Medicare PIN855INY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nestor Omar Cancio Morales M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456525302
PECOS Enrollment IDI20151102001253
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
396 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
319 services31 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
61 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services31 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%49 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%20 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers19 claims20 services$76.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Vascular & Interventional Radiology)
3663 S MIAMI AVE
MIAMI, FL 33133
Nurse Practitioner (Family)
3663 S MIAMI AVE
MIAMI, FL 33133
General Acute Care Hospital
3663 S MIAMI AVE
MIAMI, FL 33133
Anesthesiology
3663 S MIAMI AVE
MIAMI, FL 33133
Emergency Medicine
3663 S MIAMI AVE
MIAMI, FL 33133
Anesthesiology
3663 S MIAMI AVE
MIAMI, FL 33133
Emergency Medicine
3663 S MIAMI AVE, MEDICAL STAFF OFFICE
MIAMI, FL 33133
Nurse Anesthetist, Certified Registered
3663 S MIAMI AVE
MIAMI, FL 33133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nestor Cancio Morales's NPI number?

The NPI number for Nestor Cancio Morales is 1013183409. It was assigned to this individual provider in the NPPES registry on May 5, 2008.

Where is Nestor Cancio Morales located?

Nestor Cancio Morales practices at 3663 S Miami Ave Ste 3325, Miami, FL 33133. The listed phone number is (305) 856-1461.

What is Nestor Cancio Morales's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Nestor Cancio Morales enrolled in Medicare?

Yes. Nestor Cancio Morales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nestor Cancio Morales accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Nestor Cancio Morales as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nestor Cancio Morales was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.