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VICTOR ARBOLEDA M.D.
NPI 1205804713
Internal Medicine in Clearwater, FL

Active since March 09, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D1015368 · Waiver
525 S HERCULES AVE, STE 102, CLEARWATER, FL 33764(727) 442-6068(727) 443-4894 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Victor Arboleda M.d. NPPES

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

VICTOR ARBOLEDA M.D. (NPI 1205804713) is an individual internal medicine provider in Clearwater, Florida, licensed in Florida (ME67231) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 29, 2027, and is affiliated with Morton Plant Hospital.

NPPES Registry Identity

NPI1205804713
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVICTOR ARBOLEDACredential: M.D.
Location Address525 S HERCULES AVE, STE 102Clearwater, FL 33764-6313
Mailing Address525 S Hercules Ave, Ste 102Clearwater, FL 33764-6313 · (727) 442-6068 · Fax (727) 443-4894
Phone(727) 442-6068
Fax(727) 443-4894
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateMarch 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205804713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME67231
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
525 S HERCULES AVE, Clearwater, FL 33764
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Other Identifiers 2

Medicare ID-Type Unspecified26416VPtan
Medicare UPINF73546

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, UnitedHealthcare.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

Victor Arboleda 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 ID1052389053
PECOS Enrollment IDI20040917000735
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1015368

Victor Arboleda MD PA · Clearwater, FL
Active · expires Jul 29, 2027
CLIA Number10D1015368
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorVictor Arboleda MD
Laboratory Phone(727) 442-6068
Laboratory LocationVictor Arboleda MD PA525 S Hercules Ave Ste 102, Clearwater, FL 33764
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
193 services33 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.
83 services34 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.
43 services22 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
34 services22 patients
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
34 services12 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
21 services15 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33764 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.

Other Providers at the Same Location NPPES 2

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

JOYNER THERAPY
Specialist
525 S HERCULES AVE, SUITE 101
CLEARWATER, FL 33764
Pinellas County (727) 216-3572
VICTOR ARBOLEDA MD PA
Internal Medicine
525 S HERCULES AVE, STE 102
CLEARWATER, FL 33764
Pinellas County (727) 442-6068

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 Victor Arboleda's NPI number?

The NPI number for Victor Arboleda is 1205804713. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Victor Arboleda located?

Victor Arboleda practices at 525 S Hercules Ave Ste 102, Clearwater, FL 33764. The listed phone number is (727) 442-6068.

What is Victor Arboleda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Victor Arboleda enrolled in Medicare?

Yes. Victor Arboleda 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.

Does Victor Arboleda hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1015368) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Victor Arboleda accept?

Health plans from AvMed and UnitedHealthcare list Victor Arboleda 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 Victor Arboleda affiliated with any hospitals?

According to CMS data, Victor Arboleda is affiliated with Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Victor Arboleda was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.