MERVIN PUNZALAN MANUEL M.D.
NPI 1215070396
Pediatrics in Fernandina Beach, FL

Q: What is Mervin Manuel's NPI number?

The NPI number for Mervin Manuel is 1215070396. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Q: What is Mervin Manuel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mervin Manuel was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since February 15, 2007PECOS Enrolled

54.65/100

CMS Quality Rating

1463 NECTARINE ST, FERNANDINA BEACH, FL 32034(904) 491-0177(904) 491-3173 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2025, Nov 1, 2023, Sep 8, 2020 and 1 more (4 updates tracked since 2016).

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About Mervin Punzalan Manuel M.d. NPPES

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

MERVIN PUNZALAN MANUEL M.D. (NPI 1215070396) is an individual pediatrics provider in Fernandina Beach, Florida, licensed in Florida (ME123580) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215070396

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMERVIN PUNZALAN MANUELCredential: M.D.

Location Address1463 NECTARINE STFernandina Beach, FL 32034-3027

Mailing Address900 S Pine Island Rd Ste 800Plantation, FL 33324-3923 · (904) 491-0177 · Fax (904) 491-3173

Phone(904) 491-0177

Fax(904) 491-3173

Sole ProprietorNo

Enumeration DateFebruary 15, 2007

Last NPPES UpdateMay 15, 20254 updates tracked since enumeration

NPPES CertifiedMay 15, 2025

✔ NPI 1215070396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME123580

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1463 NECTARINE ST, Fernandina Beach, FL 32034

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Other Identifiers 2

Medicaid016615600FL

Medicaid102682978PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mervin Punzalan Manuel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32034 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

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.

54.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.69

Promoting Interoperability

Improvement Activities

Cost

63.47

Reported Quality Measures

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

22%453 patients2/55-star benchmark: 88%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

22%58 patients1/55-star benchmark: 96%

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

Patients nutrition: 42% · 392 patients

Patients physicalActivity: 40% · 392 patients

81%392 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 9

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

FIRST COAST PEDIATRICS

Pediatrics