DR. FRANCIS JOHN HORNICEK JR. MD PHD
NPI 1154305571
Orthopaedic Surgery in Miami, FL

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1475 NW 12TH AVE FL 3, MIAMI, FL 33136(305) 243-3208(305) 243-0337 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2021, Mar 17, 2018, Sep 19, 2017 (3 updates tracked since 2017).

About Dr. Francis John Hornicek Jr. Md Phd NPPES

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

DR. FRANCIS JOHN HORNICEK JR. MD PHD (NPI 1154305571) is an individual orthopaedic surgery provider in Miami, Florida, licensed in Florida (ME68816) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1154305571
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. FRANCIS JOHN HORNICEK JR.Credential: MD PHD
Location Address1475 NW 12TH AVE FL 3Miami, FL 33136-1002
Mailing Address1120 Nw 14th St Ste 1263zMiami, FL 33136-2107 · (305) 302-1783 · Fax (305) 243-0337
Fax(305) 243-0337
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 30, 2005
Last NPPES UpdateMay 4, 20213 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
NPI 1154305571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in FL · ME68816 Licensed in MA · 150718 Licensed in CA · G148755
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1475 NW 12TH AVE FL 3, Miami, FL 33136

Secondary Practice Locations 2

Location 155 Fruit Street, YAW 3920 Orthopaedic AssociatesBoston, MA 02114-2696 · Phone (617) 724-6802 · Fax (617) 726-6823
Location 210833 Le Conte AveLos Angeles, CA 90095-2696 · Phone (310) 319-1234

Other Identifiers 3

Other150718MA · Tufts Health Plan
OtherJ18990MA · Bcbs Ma
Medicaid3180107MA

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

Dr. Francis John Hornicek Jr. Md Phd 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 ID8426128380
PECOS Enrollment IDI20210413000672
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

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 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.
19 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Hematology & Oncology)
1475 NW 12TH AVE FL 3
MIAMI, FL 33136
Nurse Practitioner (Family)
1475 NW 12TH AVE FL 3
MIAMI, FL 33136
Nurse Practitioner
1475 NW 12TH AVE FL 3
MIAMI, FL 33136

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 Francis Hornicek's NPI number?

The NPI number for Francis Hornicek is 1154305571. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Francis Hornicek located?

Francis Hornicek practices at 1475 NW 12th Ave Fl 3, Miami, FL 33136. The listed phone number is (305) 243-3208.

What is Francis Hornicek's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Francis Hornicek enrolled in Medicare?

Yes. Francis Hornicek 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 Francis Hornicek accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Francis Hornicek 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 Francis Hornicek was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.