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DR. JULLIUS I ANCHETA M.D.
NPI 1225146350
Psychiatry & Neurology - Neurology in Venice, FL

Active since August 28, 2006PECOS EnrolledAccepts Medicare Assignment
79.16/100
CMS Quality Rating
517 RIVIERA ST, SUITE A, VENICE, FL 34285(941) 412-1208(941) 412-1248 Get Directions Write a Review

NPPES record last updated: June 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jullius I Ancheta M.d. NPPES

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

DR. JULLIUS I ANCHETA M.D. (NPI 1225146350) is an individual neurology provider in Venice, Florida, licensed in Florida (ME80512) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Hahnemann University College Of Medicine (1992).

NPPES Registry Identity

NPI1225146350
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JULLIUS I ANCHETACredential: M.D.
Location Address517 RIVIERA ST, SUITE AVenice, FL 34285-2827
Mailing Address517 Riviera St., Suite AVenice, FL 34285 · (941) 412-1208 · Fax (941) 412-1248
Phone(941) 412-1208
Fax(941) 412-1248
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1992
Enumeration DateAugust 28, 2006
Last NPPES UpdateJune 9, 2011
✔ NPI 1225146350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in FL · ME80512
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
517 RIVIERA ST, Venice, FL 34285
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Other Identifiers 3

Medicare ID-Type Unspecified58680FL
Medicare UPING66781FL
Medicaid264553000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.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. Jullius I Ancheta 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 ID9133392848
PECOS Enrollment IDI20111025000451
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 9

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 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.
580 services364 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.
175 services143 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
162 services162 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.
81 services81 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
68 services57 patients
Nerve conduction, 5-6 studies 95909
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

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

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100359
Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34285 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.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality55.32
Improvement Activities40

Reported Quality Measures

Advance Care Plan
1%1,209 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
27%255 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
29%91 patients2/55-star benchmark: 91%
Dementia: Cognitive Assessment
0%70 patients
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%50 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%2,563 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%1,337 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
10%2,105 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 704 patients
0%704 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
73%519 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 1,107 patients
Patients totalRate: 1% · 1,108 patients
0%1,108 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 5

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

NEUROLOGIC CONSULTANTS, PA
Psychiatry & Neurology (Neurology)
517 RIVIERA ST, SUITE A
VENICE, FL 34285
Sarasota County (941) 412-1208
DR. VICTOR B. BAGA M.D.
Internal Medicine (Cardiovascular Disease)
517 RIVIERA ST, UNIT C
VENICE, FL 34285
Sarasota County (941) 485-2647
VICTOR BAGA, M.D., P.A.
Internal Medicine (Cardiovascular Disease)
517 RIVIERA ST, UNIT C
VENICE, FL 34285
Sarasota County (941) 525-0160
SHANNON LEE AURELIUS
Physician Assistant
517 RIVIERA ST
VENICE, FL 34285
Sarasota County (941) 244-9524
JUAN E. NUNEZ, M.D. P.A
Internal Medicine (Nephrology)
517 RIVIERA ST, SUITE B
VENICE, FL 34285
Sarasota County (941) 488-2881

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 Jullius Ancheta's NPI number?

The NPI number for Jullius Ancheta is 1225146350. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Jullius Ancheta located?

Jullius Ancheta practices at 517 Riviera St Suite A, Venice, FL 34285. The listed phone number is (941) 412-1208.

What is Jullius Ancheta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jullius Ancheta enrolled in Medicare?

Yes. Jullius Ancheta 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 Jullius Ancheta accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Jullius Ancheta 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 Jullius Ancheta affiliated with any hospitals?

According to CMS data, Jullius Ancheta is affiliated with Sarasota Memorial Hospital and Sarasota Memorial Hospital - Venice.

When was this NPI record last updated?

The NPPES record for Jullius Ancheta was last updated on June 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.