Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ESTEBAN ANDRES PERALTA CHACON
NPI 1053068643
Ophthalmology in Largo, FL

Q: What is Esteban Peralta Chacon's NPI number?

The NPI number for Esteban Peralta Chacon is 1053068643. It was assigned to this individual provider in the NPPES registry on March 3, 2022.

Q: What is Esteban Peralta Chacon's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since March 03, 2022PECOS Enrolled

148 13TH ST SW, LARGO, FL 33770(813) 253-2727(813) 253-2729 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2026, Apr 7, 2026, Mar 3, 2022 (3 updates tracked since 2022).

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About Esteban Andres Peralta Chacon NPPES

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

ESTEBAN ANDRES PERALTA CHACON (NPI 1053068643) is an individual ophthalmology provider in Largo, Florida, licensed in Florida (ME178994) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Utah School Of Medicine (2022).

NPPES Registry Identity

NPI1053068643

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameESTEBAN ANDRES PERALTA CHACON

Location Address148 13TH ST SWLargo, FL 33770-3127

Mailing AddressPo Box 2410Largo, FL 33779-2410 · (813) 253-2727 · Fax (813) 253-2729

Phone(813) 253-2727

Fax(813) 253-2729

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2022

Enumeration DateMarch 3, 2022

Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1053068643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · ME178994

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

148 13TH ST SW, Largo, FL 33770

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Secondary Practice Locations 4

Location 111925 Sheldon RdTampa, FL 33626-3644 · Phone (813) 792-0444 · Fax (813) 792-0066

Location 26133 Central AveSt Petersburg, FL 33710-8529 · Phone (727) 344-3008 · Fax (813) 253-2729

Location 3501 N Howard Ave Ste 100Tampa, FL 33606-1213 · Phone (813) 253-2727 · Fax (813) 253-2729

Location 43220 N McMullen Booth RdClearwater, FL 33761-2012 · Phone (727) 723-8706 · Fax (727) 451-0756

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Esteban Andres Peralta Chacon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739561671

PECOS Enrollment IDI20260508002978

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33770 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

J CHRIS HELOPOULOS PA-C

Physician Assistant