CHAZ KISGEROPOULOS
NPI 1235612581
Physician Assistant in Daytona Beach, FL

Q: What is Chaz Kisgeropoulos's NPI number?

The NPI number for Chaz Kisgeropoulos is 1235612581. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Q: What is Chaz Kisgeropoulos's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 12, 2018PECOS EnrolledAccepts Medicare Assignment

72.7/100

CMS Quality Rating

301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117(386) 231-6000 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2020, Oct 17, 2018, Sep 12, 2018 (3 updates tracked since 2018).

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About Chaz Kisgeropoulos NPPES

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

CHAZ KISGEROPOULOS (NPI 1235612581) is an individual physician assistant in Daytona Beach, Florida and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1235612581

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCHAZ KISGEROPOULOS

Location Address301 MEMORIAL MEDICAL PKWYDaytona Beach, FL 32117-5167

Mailing Address5447 Carmody Lake DrPort Orange, FL 32128-7480 · (386) 341-0652

Phone(386) 231-6000

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 12, 2018

Last NPPES UpdateJanuary 14, 20203 updates tracked since enumeration

✔ NPI 1235612581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

301 MEMORIAL MEDICAL PKWY, Daytona Beach, FL 32117

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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

Chaz Kisgeropoulos 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 ID5193061604

PECOS Enrollment IDI20190103002372

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 3

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.

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.

107 services104 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

78 services78 patients

Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes 99235

This service involves a brief hospital stay for a moderate health issue. You'll be admitted and discharged on the same day, typically within 50 minutes. It's a quick, efficient way to receive necessary care and medical attention.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100068

Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 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

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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.

72.7/100

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

Scored as part of a group practice

Quality

76.01

Promoting Interoperability

100

Improvement Activities

Cost

57.98

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.

MEGAN LEE OTR

Physical Medicine & Rehabilitation

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Volusia County (386) 231-3470

MEMORIAL HEALTH SYSTEMS INC

Clinic/Center (Rehabilitation, Cardiac Facilities)

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Volusia County (386) 231-6000

STACEY L. FLANDERS CRNA

Nurse Anesthetist, Certified Registered

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Volusia County (386) 231-3147

JULIANA LYN HELLMANN D.O.

Pediatrics

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Volusia County (407) 975-0410

DHRUMIL VIJAYKUMAR PATEL

Internal Medicine

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Volusia County (386) 231-1091

SELECT SPECIALTY HOSPITAL - DAYTONA BEACH, INC.

Long Term Care Hospital

301 MEMORIAL MEDICAL PKWY, 11TH FLOOR
DAYTONA BEACH, FL 32117

Volusia County (386) 231-3470

MRS. ROSA ZAMIRIS PEREZ CRNA

Nurse Anesthetist, Certified Registered

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Volusia County (386) 231-3518

GENA GENOVESE BRENNAN APRN

Nurse Practitioner (Family)

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Volusia County (386) 353-7633

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 Chaz Kisgeropoulos's NPI number?

The NPI number for Chaz Kisgeropoulos is 1235612581. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Where is Chaz Kisgeropoulos located?

Chaz Kisgeropoulos practices at 301 Memorial Medical Pkwy, Daytona Beach, FL 32117. The listed phone number is (386) 231-6000.

What is Chaz Kisgeropoulos's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Chaz Kisgeropoulos enrolled in Medicare?

Yes. Chaz Kisgeropoulos 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.

Is Chaz Kisgeropoulos affiliated with any hospitals?

According to CMS data, Chaz Kisgeropoulos is affiliated with Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Chaz Kisgeropoulos was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.