NESTOR CERDA M.D.
NPI 1164957767
Family Medicine - Geriatric Medicine in New Square, NY

Active since April 21, 2017PECOS Enrolled
728 N MAIN ST, NEW SQUARE, NY 10977(845) 354-9300 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 18, 2024, Feb 28, 2023, Nov 6, 2022 and 1 more (4 updates tracked since 2017).

About Nestor Cerda M.d. NPPES

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

NESTOR CERDA M.D. (NPI 1164957767) is an individual geriatric medicine provider in New Square, New York, licensed in New York (307803) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1164957767
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameNESTOR CERDACredential: M.D.
Location Address728 N MAIN STNew Square, NY 10977-8916
Mailing Address3 Sadore Ln Apt 4gYonkers, NY 10710-4729 · (914) 414-0668
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 21, 2017
Last NPPES UpdateJune 18, 20244 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1164957767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Licenses✔ Licensed in NY · 307803✔ Licensed in NJ · 25MA11234100
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X · License 307803 (NY)
728 N MAIN ST, New Square, NY 10977

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nestor Cerda M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426397506
PECOS Enrollment IDI20220414000499
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 Nestor Cerda reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
728 N MAIN ST
Spring Valley, NY 10977
  • Reassigned Medicare billing, New York enrollment
  • 206 clinicians in this Medicare group
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group
Urgent Care
555 N BROADWAY
Jericho, NY 11753
  • Reassigned Medicare billing, New York enrollment
  • 413 clinicians in this Medicare group

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 2

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.

Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
15 services15 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10977 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Pediatrics
728 N MAIN ST
NEW SQUARE, NY 10977
Internal Medicine (Medical Oncology)
728 N MAIN ST
NEW SQUARE, NY 10977
Psychiatry & Neurology (Child & Adolescent Psychiatry)
728 N MAIN ST, REFUAH HEALTH CENTER
SPRING VALLEY, NY 10977
Dentist (Orthodontics and Dentofacial Orthopedics)
728 N MAIN ST, REFUAH HEALTH CENTER
SPRING VALLEY, NY 10977
Dentist
728 N MAIN ST
NEW SQUARE, NY 10977
Psychiatry & Neurology (Psychiatry)
728 N MAIN ST
NEW SQUARE, NY 10977
Dentist (Endodontics)
728 N MAIN ST
NEW SQUARE, NY 10977
Physician Assistant
728 N MAIN ST
NEW SQUARE, NY 10977

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 Nestor Cerda's NPI number?

The NPI number for Nestor Cerda is 1164957767. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Nestor Cerda located?

Nestor Cerda practices at 728 N Main St, New Square, NY 10977. The listed phone number is (845) 354-9300.

What is Nestor Cerda's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Nestor Cerda enrolled in Medicare?

Yes. Nestor Cerda is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nestor Cerda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nestor Cerda reassigns Medicare benefits to 3 organizations: Refuah Health Center Inc (Spring Valley, NY), Optum Medical Care, P.C. (Mount Kisco, NY) and Optum Urgent Care, PLLC (Jericho, NY). 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 Nestor Cerda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nestor Cerda accept?

Health plans from Oscar Health list Nestor Cerda 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 Nestor Cerda was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.