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RICARDO CESTERO M.D.
NPI 1023216835
Internal Medicine in Phoenix, AZ

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
84.08/100
CMS Quality Rating
10835 N 25TH AVE, SUITE 115, PHOENIX, AZ 85029(602) 789-0344 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ricardo Cestero M.d. NPPES

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

RICARDO CESTERO M.D. (NPI 1023216835) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (37307) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1023216835
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRICARDO CESTEROCredential: M.D.
Location Address10835 N 25TH AVE, SUITE 115Phoenix, AZ 85029-4751
Mailing Address1001 E Playa Del Norte Dr, Suite 4402Tempe, AZ 85281-2176 · (480) 560-8645
Phone(602) 789-0344
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 3, 2007
Last NPPES UpdateApril 28, 2022
NPPES CertifiedApril 28, 2022
✔ NPI 1023216835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in AZ · 37307✔ Licensed in PR · 16067✔ Licensed in FL · ME98591
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10835 N 25TH AVE, Phoenix, AZ 85029
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Ricardo Cestero 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 ID1759452766
PECOS Enrollment IDI20220513002017
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 4

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.

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.
352 services317 patients
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.
26 services18 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services24 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.
15 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Adventhealth Lake Wales

Acute Care Hospitals · Lake Wales, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100099
Location410 S 11th StLake Wales, FL 33853 · Polk County
Emergency services

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85029 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

84.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.03
Improvement Activities40
Cost90.55

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%290 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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$16.73 avg. paid by Medicare
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
2 suppliers19 claims19 services$85.99 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$30.87 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 7

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

DR. VINEEL KURLI M.D.
Radiology (Vascular & Interventional Radiology)
10835 N 25TH AVE, SUITE 240
PHOENIX, AZ 85029
Maricopa County (602) 246-2584
ARVIN N BAGHERPOUR M.D.
Radiology (Diagnostic Radiology)
10835 N 25TH AVE, SUITE 240
PHOENIX, AZ 85029
Maricopa County (602) 246-2584
MELISSA ANN ROOPER B.S.
Behavior Technician
10835 N 25TH AVE
PHOENIX, AZ 85029
Maricopa County (602) 224-5499
IMA ALAMORADI M.D.
Internal Medicine
10835 N 25TH AVE, SUITE 115
PHOENIX, AZ 85029
Maricopa County (602) 789-0344
DE'ANTOYA WOOLRIDGE
Behavior Technician
10835 N 25TH AVE
PHOENIX, AZ 85029
Maricopa County (480) 426-9335
EUGENE J GUERRERO M.D.
Internal Medicine
10835 N 25TH AVE, SUITE 115
PHOENIX, AZ 85029
Maricopa County (623) 313-6311
DR. DORIS R STAIR M.D.
Radiology (Diagnostic Radiology)
10835 N 25TH AVE, #240
PHOENIX, AZ 85029
Maricopa County (602) 246-2584

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 Ricardo Cestero's NPI number?

The NPI number for Ricardo Cestero is 1023216835. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Ricardo Cestero located?

Ricardo Cestero practices at 10835 N 25th Ave Suite 115, Phoenix, AZ 85029. The listed phone number is (602) 789-0344.

What is Ricardo Cestero's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ricardo Cestero enrolled in Medicare?

Yes. Ricardo Cestero 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 Ricardo Cestero accept?

Health plans from Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Ricardo Cestero 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.

Is Ricardo Cestero affiliated with any hospitals?

According to CMS data, Ricardo Cestero is affiliated with Adventhealth Orlando, Winter Haven Hospital, Adventhealth Lake Wales and Adventhealth Heart Of Florida.

When was this NPI record last updated?

The NPPES record for Ricardo Cestero was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.