DR. JOSE DAVID HERAZO-MAYA M.D
NPI 1164684353
Internal Medicine - Pulmonary Disease in Naples, FL

Active since June 28, 2008PECOS EnrolledAccepts Medicare Assignment
311 9TH ST N STE 310, NAPLES, FL 34102(239) 624-8250(239) 624-8251 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 1, 2017 (2 updates tracked since 2017).

About Dr. Jose David Herazo-maya M.d NPPES

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

DR. JOSE DAVID HERAZO-MAYA M.D (NPI 1164684353) is an individual pulmonary disease provider in Naples, Florida, licensed in Florida (ME129944) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1164684353
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JOSE DAVID HERAZO-MAYACredential: M.D
Location Address311 9TH ST N STE 310Naples, FL 34102-5889
Mailing Address311 9th St N Ste 310Naples, FL 34102-5889 · (239) 624-8250 · Fax (239) 624-8251
Fax(239) 624-8251
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 28, 2008
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1164684353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in FL · ME129944 Licensed in CT · 052191
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 ME129944 (FL), 052191 (CT)
311 9TH ST N STE 310, Naples, FL 34102

Other Identifiers 3

Medicaid020542800FL
OtherJJEOQFL · Bcbs
OtherIY355ZFL · Medicare

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. Jose David Herazo-maya 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 ID6002033685
PECOS Enrollment IDI20170525002059
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 4

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 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.
121 services106 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
95 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
39 services27 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
30 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34102 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

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
5 suppliers24 claims24 services$34.45 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers16 claims16 services$88.61 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers17 claims49 services$36.12 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers17 claims17 services$54.09 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers20 claims20 services$18.14 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers34 claims204 services$2.21 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 11

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

Internal Medicine (Pulmonary Disease)
311 9TH ST N STE 310
NAPLES, FL 34102
Internal Medicine (Pulmonary Disease)
311 9TH ST N STE 310
NAPLES, FL 34102
Internal Medicine (Pulmonary Disease)
311 9TH ST N STE 310
NAPLES, FL 34102
Internal Medicine (Pulmonary Disease)
311 9TH ST N STE 310
NAPLES, FL 34102
Nurse Practitioner
311 9TH ST N STE 310
NAPLES, FL 34102
Internal Medicine
311 9TH ST N STE 310
NAPLES, FL 34102
Internal Medicine (Pulmonary Disease)
311 9TH ST N STE 310
NAPLES, FL 34102
Internal Medicine (Pulmonary Disease)
311 9TH ST N STE 310
NAPLES, FL 34102

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 Herazo-maya's NPI number?

The NPI number for Jose Herazo-maya is 1164684353. It was assigned to this individual provider in the NPPES registry on June 28, 2008.

Where is Jose Herazo-maya located?

Jose Herazo-maya practices at 311 9th St N Ste 310, Naples, FL 34102. The listed phone number is (239) 624-8250.

What is Jose Herazo-maya's specialty?

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

Is Jose Herazo-maya enrolled in Medicare?

Yes. Jose Herazo-maya 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 Herazo-maya accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Jose Herazo-maya 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 Herazo-maya affiliated with any hospitals?

According to CMS data, Jose Herazo-maya is affiliated with Lee Memorial Hospital, St Josephs Hospital, Sarasota Memorial Hospital, Morton Plant Hospital and Tampa General Hospital.

When was this NPI record last updated?

The NPPES record for Jose Herazo-maya was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.