JOSE A DELGADO ELVIR M.D.
NPI 1093766768
Internal Medicine - Pulmonary Disease in Ocala, FL

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3301 SW 34TH CIR, SUITE 202, OCALA, FL 34474(352) 237-2826(352) 237-2488 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jose A Delgado Elvir M.d. NPPES

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

JOSE A DELGADO ELVIR M.D. (NPI 1093766768) is an individual pulmonary disease provider in Ocala, Florida, licensed in Florida (ME95387) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Ocala, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1093766768
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJOSE A DELGADO ELVIRCredential: M.D.
Location Address3301 SW 34TH CIR, SUITE 202Ocala, FL 34474-6621
Mailing Address3301 Sw 34th Cir, Suite 202Ocala, FL 34474-6621 · (352) 237-2826 · Fax (352) 237-2488
Fax(352) 237-2488
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateMay 15, 2006
Last NPPES UpdateFebruary 11, 2015
NPI 1093766768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in FL · ME95387
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 Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME 95387 (FL)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License ME95387 (FL)
3301 SW 34TH CIR, Ocala, FL 34474

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

Jose A Delgado Elvir 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 ID3577576248
PECOS Enrollment IDI20060725000089
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 31

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.
1,339 services820 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
591 services582 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
577 services569 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
576 services568 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.
574 services405 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
482 services57 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100062
Location1500 SW 1st AveOcala, FL 34474 · Marion County
Emergency services Birthing friendly

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100212
Location1431 SW 1st AveOcala, FL 34471 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34474 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
$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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
96%272 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
67%374 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%236 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%698 patients5/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%695 patients4/55-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 38

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
20 suppliers530 claims530 services$33.90 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
8 suppliers56 claims122 services$1.24 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
8 suppliers52 claims52 services$13.12 avg. paid by Medicare
Filter, disposable, used with aerosol compressor or ultrasonic generator A7013
DME-Other DME · category DE000N
3 suppliers37 claims173 services$0.43 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
2 suppliers37 claims37 services$1.02 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
22 suppliers483 claims483 services$75.29 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 15

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

Specialist
3301 SW 34TH CIR, SUITE 202
OCALA, FL 34474
Nurse Practitioner (Acute Care)
3301 SW 34TH CIR
OCALA, FL 34474
Occupational Therapist
3301 SW 34TH CIR, SUITE 202
OCALA, FL 34474
Durable Medical Equipment & Medical Supplies
3301 SW 34TH CIR, SUITE 303
OCALA, FL 34474
Speech-Language Pathologist
3301 SW 34TH CIR, SUITE 202
OCALA, FL 34474
Speech-Language Pathologist
3301 SW 34TH CIR, STE 202
OCALA, FL 34474
Nurse Practitioner
3301 SW 34TH CIR, SUITE 101
OCALA, FL 34474
Internal Medicine
3301 SW 34TH CIR, STE 301
OCALA, FL 34474

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 Jose Delgado Elvir's NPI number?

The NPI number for Jose Delgado Elvir is 1093766768. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Jose Delgado Elvir located?

Jose Delgado Elvir practices at 3301 SW 34th Cir Suite 202, Ocala, FL 34474. The listed phone number is (352) 237-2826.

What is Jose Delgado Elvir's specialty?

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

Is Jose Delgado Elvir enrolled in Medicare?

Yes. Jose Delgado Elvir 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 Jose Delgado Elvir accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. and 2 other insurers list Jose Delgado Elvir 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 Jose Delgado Elvir affiliated with any hospitals?

According to CMS data, Jose Delgado Elvir is affiliated with Adventhealth Ocala and Marion Communtiy Hospital.

When was this NPI record last updated?

The NPPES record for Jose Delgado Elvir was last updated on February 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.