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DR. PABLO MARTIN PELLA MD
NPI 1245347004
Internal Medicine - Infectious Disease in Jacksonville, FL

Active since August 25, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2343403 · Waiver
75/100
CMS Quality Rating
6817 SOUTHPOINT PKWY STE 801, JACKSONVILLE, FL 32216(904) 646-3420(904) 646-3017 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2024, Sep 28, 2016 (2 updates tracked since 2016).

About Dr. Pablo Martin Pella Md NPPES

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

DR. PABLO MARTIN PELLA MD (NPI 1245347004) is an individual infectious disease provider in Jacksonville, Florida, licensed in Florida (ME64398) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 5, 2028, and is affiliated with Hca Florida Memorial Hospital.

NPPES Registry Identity

NPI1245347004
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. PABLO MARTIN PELLACredential: MD
Location Address6817 SOUTHPOINT PKWY STE 801Jacksonville, FL 32216-6292
Mailing Address8773 Perimeter Park CtJacksonville, FL 32216-1165 · (904) 493-3390 · Fax (904) 493-3395
Phone(904) 646-3420
Fax(904) 646-3017
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateAugust 25, 2006
Last NPPES UpdateApril 26, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1245347004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME64398
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.
6817 SOUTHPOINT PKWY STE 801, Jacksonville, FL 32216
Open in Google Maps ↗

Secondary Practice Location 1

Location 14427 Emerson St Ste AJacksonville, FL 32207-4969 · Phone (904) 900-1513 · Fax (904) 453-8600

Other Identifiers 6

Medicaid250465100FL
OtherK2410FL · Medicare - Group
Other219953FL · Avmed
Other25066FL · Wellcare
Other0111508-00FL · Medicaid - Group
Other74509FL · Florida Blue - Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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 and accepts Medicare assignment

Dr. Pablo Martin Pella Md 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 ID2668453671
PECOS Enrollment IDI20101019000130
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 10D2343403

Pablo Pella MD, PA · Jacksonville, FL
Active · expires May 5, 2028
CLIA Number10D2343403
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorPablo M. Pella
Laboratory Phone(904) 646-3420
Laboratory LocationPablo Pella MD, PA6817 Southpoint Pkwy #1803, Jacksonville, FL 32216
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
883 services120 patients
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.
563 services231 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.
378 services95 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.
167 services149 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
152 services139 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.
127 services74 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100179
Location3625 University Blvd SJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES

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

RICKY HOWELL ARNP
Nurse Practitioner
6817 SOUTHPOINT PKWY STE 801
JACKSONVILLE, FL 32216
Duval County (904) 646-3420

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 Pablo Pella's NPI number?

The NPI number for Pablo Pella is 1245347004. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Pablo Pella located?

Pablo Pella practices at 6817 Southpoint Pkwy Ste 801, Jacksonville, FL 32216. The listed phone number is (904) 646-3420.

What is Pablo Pella's specialty?

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

Is Pablo Pella enrolled in Medicare?

Yes. Pablo Pella 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 Pablo Pella hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2343403) is associated with this NPI, valid through May 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pablo Pella accept?

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

According to CMS data, Pablo Pella is affiliated with Hca Florida Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Pablo Pella was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.