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

Q: 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.

Q: What is Justin De Boer's specialty?

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

Q: 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.

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: August 09, 2026.

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 3 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.