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KEVIN JONATHAN CACERES MD
NPI 1053739391
Otolaryngology - Facial Plastic Surgery in South Pasadena, FL

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
1615 PASADENA AVE S STE 220, SOUTH PASADENA, FL 33707(727) 870-3223(727) 870-4223 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 12, 2023, Sep 21, 2021, Sep 10, 2020 and 2 more (5 updates tracked since 2019).

About Kevin Jonathan Caceres Md NPPES

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

KEVIN JONATHAN CACERES MD (NPI 1053739391) is an individual facial plastic surgery provider in South Pasadena, Florida, licensed in Florida (ME145079) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Hospital, and is a graduate of Baylor College Of Medicine (2014).

NPPES Registry Identity

NPI1053739391
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameKEVIN JONATHAN CACERESCredential: MD
Location Address1615 PASADENA AVE S STE 220South Pasadena, FL 33707-4517
Mailing Address3000 Medical Park Dr Ste 170Tampa, FL 33613-6601 · (813) 467-4262 · Fax (813) 467-4264
Phone(727) 870-3223
Fax(727) 870-4223
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 2014
Enumeration DateApril 3, 2014
Last NPPES UpdateJune 12, 20235 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1053739391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Licenses✔ Licensed in FL · ME145079✔ Licensed in TX · S1574
Definition
An otolaryngologist who specializes in facial plastic surgery.
1615 PASADENA AVE S STE 220, South Pasadena, FL 33707
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Jonathan Caceres Md 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 ID1850628272
PECOS Enrollment IDI20200914001981
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kevin Caceres reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Physician Group Inc
29 mi
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
NPI 1174955256 (813) 336-5766
Ent And Allergy Associates Of Florida, LLC
187 mi
Otolaryngology
6421 CONGRESS AVE STE 113
Boca Raton, FL 33487
  • Reassigned Medicare billing, Florida enrollment
  • 211 clinicians in this Medicare group
NPI 1164473120 (561) 338-3267
Ut Physicians
780 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
211 services135 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
130 services130 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
66 services49 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
52 services43 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
40 services36 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DIAGNOSTIC CLINIC MEDICAL GROUP, INC.
Family Medicine
1615 PASADENA AVE S STE 220
SOUTH PASADENA, FL 33707
Pinellas County (727) 345-7100

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 Kevin Caceres's NPI number?

The NPI number for Kevin Caceres is 1053739391. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Kevin Caceres located?

Kevin Caceres practices at 1615 Pasadena Ave S Ste 220, South Pasadena, FL 33707. The listed phone number is (727) 870-3223.

What is Kevin Caceres's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Kevin Caceres enrolled in Medicare?

Yes. Kevin Caceres 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.

Which organizations bill Medicare for Kevin Caceres's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Caceres reassigns Medicare benefits to 3 organizations: Florida Hospital Physician Group Inc (Tampa, FL), Ent And Allergy Associates Of Florida, LLC (Boca Raton, FL) and Ut Physicians (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Caceres's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Caceres accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Kevin Caceres 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 Kevin Caceres affiliated with any hospitals?

According to CMS data, Kevin Caceres is affiliated with St Anthonys Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Caceres was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.