CATHERINE PETEROS SEMBRANO-NAVARRO M.D.
NPI 1023233418
Family Medicine in Crystal River, FL

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment
756 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34429(352) 341-5520(352) 489-5786 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2024, Sep 10, 2020 (2 updates tracked since 2020).

About Catherine Peteros Sembrano-navarro M.d. NPPES

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

CATHERINE PETEROS SEMBRANO-NAVARRO M.D. (NPI 1023233418) is an individual family medicine provider in Crystal River, Florida, licensed in Florida (ME100210) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Citrus Hospital, and maintains a secondary practice location in Inverness.

NPPES Registry Identity

NPI1023233418
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCATHERINE PETEROS SEMBRANO-NAVARROCredential: M.D.
Location Address756 N SUNCOAST BLVDCrystal River, FL 34429-9072
Mailing Address968 W. Silver Meadow LoopHernando, FL 34442 · (352) 489-2486 · Fax (352) 489-5786
Fax(352) 489-5786
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateApril 13, 2007
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
NPI 1023233418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in FL · ME100210 Licensed in PA · MT187236
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
756 N SUNCOAST BLVD, Crystal River, FL 34429

Other Names 1

Other Name (5)Catherine Peteros Navarro M.d.

Secondary Practice Location 1

Location 1216 S Seminole AveInverness, FL 34452-4738 · Phone (352) 228-4984 · Fax (353) 794-3843

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

Catherine Peteros Sembrano-navarro 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 ID3870665417
PECOS Enrollment IDI20080626000518
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 17

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.

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.
571 services339 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
367 services214 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
310 services310 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
306 services306 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
176 services17 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
127 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Citrus Hospital

Acute Care Hospitals · Inverness, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100023
Location502 W Highland BlvdInverness, FL 34452 · Citrus County
Emergency services Birthing friendly

Tampa General Hospital Crystal River

Acute Care Hospitals · Crystal River, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100249
Location6201 N Suncoast BlvdCrystal River, FL 34428 · Citrus County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34429 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 58 patients
100%62 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%369 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 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers61 claims184 services$6.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers17 claims22 services$1.04 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers16 claims16 services$17.40 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers15 claims15 services$13.76 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers14 claims84 services$2.18 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$17.63 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 3

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

Family Medicine
756 N SUNCOAST BLVD
CRYSTAL RIVER, FL 34429
Nurse Practitioner (Acute Care)
756 N SUNCOAST BLVD
CRYSTAL RIVER, FL 34429
Family Medicine
756 N SUNCOAST BLVD
CRYSTAL RIVER, FL 34429

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 Catherine Sembrano-navarro's NPI number?

The NPI number for Catherine Sembrano-navarro is 1023233418. It was assigned to this individual provider in the NPPES registry on April 13, 2007. The provider is also known as Catherine Peteros Navarro M.D..

Where is Catherine Sembrano-navarro located?

Catherine Sembrano-navarro practices at 756 N Suncoast Blvd, Crystal River, FL 34429. The listed phone number is (352) 341-5520.

What is Catherine Sembrano-navarro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Catherine Sembrano-navarro enrolled in Medicare?

Yes. Catherine Sembrano-navarro 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 Catherine Sembrano-navarro accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Catherine Sembrano-navarro 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 Catherine Sembrano-navarro affiliated with any hospitals?

According to CMS data, Catherine Sembrano-navarro is affiliated with Hca Florida Citrus Hospital and Tampa General Hospital Crystal River.

When was this NPI record last updated?

The NPPES record for Catherine Sembrano-navarro was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.