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JUSTIN ADAM DE BOER M.D.
NPI 1104184027
Pediatrics - Pediatric Gastroenterology in Orlando, FL

Active since April 28, 2012PECOS EnrolledAccepts Medicare Assignment
60 W GORE ST, ORLANDO, FL 32806(321) 841-3338(321) 841-2170 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Justin Adam De Boer M.d. NPPES

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

JUSTIN ADAM DE BOER M.D. (NPI 1104184027) is an individual pediatric gastroenterology provider in Orlando, Florida, licensed in Florida (ME134140) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of University Central Del Caribe Escuela De Medicina (2012).

NPPES Registry Identity

NPI1104184027
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameJUSTIN ADAM DE BOERCredential: M.D.
Location Address60 W GORE STOrlando, FL 32806-1141
Mailing Address60 W Gore StOrlando, FL 32806-1141 · (321) 841-3338 · Fax (321) 841-2170
Phone(321) 841-3338
Fax(321) 841-2170
Sole ProprietorNo
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 2012
Enumeration DateApril 28, 2012
Last NPPES UpdateJune 20, 2019
✔ NPI 1104184027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in FL · ME134140
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
60 W GORE ST, Orlando, FL 32806
Open in Google Maps ↗

Other Identifiers 1

Medicaid102833800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Justin Adam De Boer 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 ID6507170230
PECOS Enrollment IDI20190626003305
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 Reassignment

Medicare enrollment records show Justin De Boer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orlando Health Medical Group Inc
0.3 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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.

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.

MRS. ELLEN G TINDAL ARNP
Nurse Practitioner (Pediatrics)
60 W GORE ST
ORLANDO, FL 32806
Orange County (321) 841-3338
DR. ADITI I DAGLI M.D.
Medical Genetics (Clinical Genetics (M.D.))
60 W GORE ST
ORLANDO, FL 32806
Orange County (407) 648-7802
DR. JENNIFER WOODARD LEIDING M.D.
Pediatrics (Pediatric Allergy/Immunology)
60 W GORE ST
ORLANDO, FL 32806
Orange County (321) 841-7360
DR. PAUL MICHAEL DESROSIERS MD.
Pediatrics (Pediatric Endocrinology)
60 W GORE ST, 2ND FLOOR
ORLANDO, FL 32806
Orange County (321) 841-3303
ALYSON SAVAGE DOBSON MS, RD, LDN, CNSC
Dietitian, Registered (Nutrition, Pediatric)
60 W GORE ST
ORLANDO, FL 32806
Orange County (321) 841-3338
KEVIN JOSEPH KOKESH
Student in an Organized Health Care Education/Training Program
60 W GORE ST
ORLANDO, FL 32806
Orange County (321) 841-6350
EDWIN MEJIA ORTEGA ARNP
Nurse Practitioner (Pediatrics)
60 W GORE ST
ORLANDO, FL 32806
Orange County (321) 841-3303
YAMEN SMADI M.D
Pediatrics (Pediatric Gastroenterology)
60 W GORE ST
ORLANDO, FL 32806
Orange County (321) 841-3338

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 Justin De Boer's NPI number?

The NPI number for Justin De Boer is 1104184027. It was assigned to this individual provider in the NPPES registry on April 28, 2012.

Where is Justin De Boer located?

Justin De Boer practices at 60 W Gore St, Orlando, FL 32806. The listed phone number is (321) 841-3338.

What is Justin De Boer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Justin De Boer enrolled in Medicare?

Yes. Justin De Boer 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 organization bills Medicare for Justin De Boer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin De Boer reassigns Medicare benefits to Orlando Health Medical Group Inc (Orlando, FL). The 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 Justin De Boer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin De Boer accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list Justin De Boer 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.

When was this NPI record last updated?

The NPPES record for Justin De Boer was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.