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SERGIO J FLORES MD
NPI 1275510869
Family Medicine in Kennewick, WA

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
3000 W KENNEWICK AVE, KENNEWICK, WA 99336(509) 783-8700(509) 783-2933 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sergio J Flores Md NPPES

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

SERGIO J FLORES MD (NPI 1275510869) is an individual family medicine provider in Kennewick, Washington, licensed in Washington (MD00043683) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Trios Health, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1275510869
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSERGIO J FLORESCredential: MD
Location Address3000 W KENNEWICK AVEKennewick, WA 99336-2922
Mailing Address140 E Main StOthello, WA 99344-1040 · (509) 488-5256 · Fax (509) 488-9939
Phone(509) 783-8700
Fax(509) 783-2933
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateDecember 27, 2005
Last NPPES UpdateJanuary 5, 2017
✔ NPI 1275510869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00043683
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3000 W KENNEWICK AVE, Kennewick, WA 99336
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Other Identifiers 4

Medicare UPINI14359
Medicare ID-Type Unspecified8805719
Medicaid1275510869WA
Medicare PING8901548WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.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

Sergio J Flores 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 ID2961475389
PECOS Enrollment IDI20040814000162
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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
333 services279 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.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Trios Health

Acute Care Hospitals · Kennewick, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500053
Location900 South Auburn StreetKennewick, WA 99336 · Benton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99336 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers20 claims20 services$31.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

THE KANIA CLINIC
Clinic/Center (Urgent Care)
3000 W KENNEWICK AVE
KENNEWICK, WA 99336
Benton County (509) 783-8700
DR. LYSLE WESTLEY WILLIAMS JR. M.D.
Emergency Medicine
3000 W KENNEWICK AVE
KENNEWICK, WA 99336
Benton County (509) 783-8700

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 Sergio Flores's NPI number?

The NPI number for Sergio Flores is 1275510869. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Sergio Flores located?

Sergio Flores practices at 3000 W Kennewick Ave, Kennewick, WA 99336. The listed phone number is (509) 783-8700.

What is Sergio Flores's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sergio Flores enrolled in Medicare?

Yes. Sergio Flores 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 Sergio Flores accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Sergio Flores 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 Sergio Flores affiliated with any hospitals?

According to CMS data, Sergio Flores is affiliated with Trios Health.

When was this NPI record last updated?

The NPPES record for Sergio Flores was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.