PEDRO JOSE BRICENO M.D.
NPI 1275748659
Surgery in Sarasota, FL

Q: What is Pedro Briceno's NPI number?

The NPI number for Pedro Briceno is 1275748659. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Q: What is Pedro Briceno's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Pedro Briceno was last updated on August 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 11, 2007PECOS EnrolledAccepts Medicare Assignment

78.8/100

CMS Quality Rating

1950 ARLINGTON ST STE 101, SARASOTA, FL 34239(941) 917-3400(941) 917-4300 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pedro Jose Briceno M.d. NPPES

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

PEDRO JOSE BRICENO M.D. (NPI 1275748659) is an individual surgery provider in Sarasota, Florida, licensed in Florida (ME105330) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1275748659

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NamePEDRO JOSE BRICENOCredential: M.D.

Location Address1950 ARLINGTON ST STE 101Sarasota, FL 34239

Mailing AddressPo Box 863407Orlando, FL 32886-3407 · (941) 917-2600 · Fax (941) 917-7884

Phone(941) 917-3400

Fax(941) 917-4300

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMay 11, 2007

Last NPPES UpdateAugust 9, 2018

✔ NPI 1275748659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in FL · ME105330✔ Licensed in PA · MD427760

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1950 ARLINGTON ST STE 101, Sarasota, FL 34239

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Other Identifiers 2

Medicaid001579800FL

Other33181FL · Bcbs

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 and accepts Medicare assignment

Pedro Jose Briceno 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 ID1153468103

PECOS Enrollment IDI20091022000656

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 12

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.

71 services60 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.

62 services62 patients

Repair of abdomen using abdominal lining graft 49905

This procedure involves repairing a damaged part of your abdomen with a graft, or patch, made from your own abdominal lining. It aims to strengthen the area and promote healing. Rest assured, it's performed by skilled surgeons.

53 services53 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.

26 services26 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

20 services20 patients

Insertion of stent into bile duct 47801

A bile duct stent insertion involves placing a small tube in your bile duct to keep it open. This is done to help bile flow properly from your liver to your small intestine. It's a common procedure to treat blockages in the bile duct.

17 services17 patients

Other procedure on liver using an endoscope 47379

This procedure involves using an endoscope, a flexible tube with a light and camera, to examine or treat your liver. It's a minimally invasive method that allows doctors to diagnose and manage liver conditions without major surgery.

16 services16 patients

Partial removal of pancreas, bile duct, and small bowel with connection of pancreas to small bowel 48150

This procedure involves partially removing the pancreas, bile duct, and a portion of the small intestine. The remaining part of the pancreas is then connected to the small intestine. This surgery helps treat certain digestive system diseases.

16 services15 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

14 services14 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

12 services11 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

11 services11 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.

11 services11 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 34239 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.

78.8/100

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

Scored as part of a group practice

Quality

79.37

Promoting Interoperability

Improvement Activities

Cost

50.81

Other Providers at the Same Location NPPES 8

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

CELESTE HEBRA GRANDE

Physician Assistant