DR. JORGE LUIS VERDECIA M.D
NPI 1174054316
Internal Medicine - Infectious Disease in Jacksonville, FL

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
655 W 8TH ST, JACKSONVILLE, FL 32209(904) 383-1003(904) 244-7388 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2022, Oct 17, 2019, Mar 21, 2017 (3 updates tracked since 2017).

About Dr. Jorge Luis Verdecia M.d NPPES

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

DR. JORGE LUIS VERDECIA M.D (NPI 1174054316) is an individual infectious disease provider in Jacksonville, Florida, licensed in Florida (ME154729) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174054316
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. JORGE LUIS VERDECIACredential: M.D
Location Address655 W 8TH STJacksonville, FL 32209-6511
Mailing Address655 W 8th StJacksonville, FL 32209-6511 · (904) 383-1003 · Fax (904) 244-7388
Fax(904) 244-7388
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 21, 2017
Last NPPES UpdateJuly 29, 20223 updates tracked since enumeration
NPPES CertifiedJuly 29, 2022
NPI 1174054316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in FL · ME154729
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN24565 (FL)
655 W 8TH ST, Jacksonville, FL 32209

Other Identifiers 1

OtherME154729FL · Florida License

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. Jorge Luis Verdecia 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 ID547533366
PECOS Enrollment IDI20220519000676
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 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.

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.
181 services68 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
51 services49 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
35 services33 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services26 patients
Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test 62270
A lower back spinal tap involves inserting a needle into the lower back to collect cerebrospinal fluid. This fluid surrounds your brain and spinal cord. The test helps diagnose conditions like infections or diseases of the nervous system.
16 services16 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.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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.

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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

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.

Anesthesiology
655 W 8TH ST
JACKSONVILLE, FL 32209
Pediatrics (Neonatal-Perinatal Medicine)
655 W 8TH ST
JACKSONVILLE, FL 32209
Physical Therapist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Student in an Organized Health Care Education/Training Program
655 W 8TH ST
JACKSONVILLE, FL 32209

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 Jorge Verdecia's NPI number?

The NPI number for Jorge Verdecia is 1174054316. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Jorge Verdecia located?

Jorge Verdecia practices at 655 W 8th St, Jacksonville, FL 32209. The listed phone number is (904) 383-1003.

What is Jorge Verdecia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Jorge Verdecia enrolled in Medicare?

Yes. Jorge Verdecia 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 Jorge Verdecia accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Jorge Verdecia 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 Jorge Verdecia affiliated with any hospitals?

According to CMS data, Jorge Verdecia is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Jorge Verdecia was last updated on July 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.