1. Home
  2. Directory
  3. Florida
  4. Stuart
  5. Psychiatry Neurology
  6. NPI Profile

DR. EFRAIN ACOSTA-LEON MD
NPI 1134559123
Psychiatry & Neurology - Psychiatry in Stuart, FL

Active since November 12, 2013PECOS EnrolledAccepts Medicare Assignment
555 S COLORADO AVE STE 111A, STUART, FL 34994(917) 513-6588(917) 900-1759 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2023, Aug 18, 2021 (2 updates tracked since 2021).

About Dr. Efrain Acosta-leon Md NPPES

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

DR. EFRAIN ACOSTA-LEON MD (NPI 1134559123) is an individual psychiatry provider in Stuart, Florida, licensed in Florida (ME120361) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1134559123
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. EFRAIN ACOSTA-LEONCredential: MD
Location Address555 S COLORADO AVE STE 111AStuart, FL 34994-3025
Mailing Address555 S Colorado Ave Ste 111aStuart, FL 34994-3025 · (917) 513-6588 · Fax (917) 900-1759
Phone(917) 513-6588
Fax(917) 900-1759
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 12, 2013
Last NPPES UpdateMarch 16, 20232 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1134559123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME120361
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License ME120361 (FL)
555 S COLORADO AVE STE 111A, Stuart, FL 34994
Open in Google Maps ↗

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

Dr. Efrain Acosta-leon 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 ID4981823036
PECOS Enrollment IDI20140922002812
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 Efrain Acosta-leon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coral Shores Behavioral Health, LLC
4.8 mi
Psychiatric Hospital
5995 SE COMMUNITY DR
Stuart, FL 34997
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1366895096 (561) 744-0211
New Horizons Of The Treasure Coast Inc
14 mi
Community/Behavioral Health
4500 W. MIDWAY ROAD
Ft. Pierce, FL 34981
  • Reassigned Medicare billing, Florida enrollment
  • 41 clinicians in this Medicare group
NPI 1154439958 (772) 468-5600
Harm Reduction Center LLC
27 mi
Psychiatry
631 US HIGHWAY 1 STE 100
North Palm Beach, FL 33408
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1346735107 (866) 205-1382

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 7

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.

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
699 services93 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.
670 services261 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
218 services192 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
110 services110 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.
67 services49 patients
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.
26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34994 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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

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

A & P PSYCHIATRIC SERVICES, PLLC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
555 S COLORADO AVE STE 111A
STUART, FL 34994
Martin County (917) 513-6588

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 Efrain Acosta-leon's NPI number?

The NPI number for Efrain Acosta-leon is 1134559123. It was assigned to this individual provider in the NPPES registry on November 12, 2013.

Where is Efrain Acosta-leon located?

Efrain Acosta-leon practices at 555 S Colorado Ave Ste 111A, Stuart, FL 34994. The listed phone number is (917) 513-6588.

What is Efrain Acosta-leon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Efrain Acosta-leon enrolled in Medicare?

Yes. Efrain Acosta-leon 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 Efrain Acosta-leon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Efrain Acosta-leon reassigns Medicare benefits to 3 organizations: Coral Shores Behavioral Health, LLC (Stuart, FL), New Horizons Of The Treasure Coast Inc (Ft. Pierce, FL) and Harm Reduction Center LLC (North Palm Beach, FL). 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 Efrain Acosta-leon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Efrain Acosta-leon accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and CareSource and 1 other insurer list Efrain Acosta-leon 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 Efrain Acosta-leon was last updated on March 16, 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.