DR. VIRGILIO R HUERTA M.D.
NPI 1275774598
Internal Medicine in Jacksonville, FL
About Dr. Virgilio R Huerta M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VIRGILIO R HUERTA M.D. (NPI 1275774598) is an individual internal medicine provider in Jacksonville, Florida, licensed in Florida (ME119776) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Loma Linda University School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Virgilio R Huerta 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.
Medicare Billing Reassignments
9Medicare enrollment records show Virgilio Huerta reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32207
- Reassigned Medicare billing, Florida enrollment
- 569 clinicians in this Medicare group
Jacksonville, FL 32209
- Reassigned Medicare billing, Florida enrollment
- 440 clinicians in this Medicare group
Fort Lauderdale, FL 33308
- Reassigned Medicare billing, Florida enrollment
- 197 clinicians in this Medicare group
Chillicothe, OH 45601
- Reassigned Medicare billing, Ohio enrollment
- 204 clinicians in this Medicare group
Canton, OH 44708
- Reassigned Medicare billing, Ohio enrollment
- 456 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, New Mexico enrollment
- 251 clinicians in this Medicare group
Clovis, NM 88101
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 clinicians in this Medicare group
Casper, WY 82601
- Reassigned Medicare billing, Wyoming enrollment
- 108 clinicians in this Medicare group
Sierra Vista, AZ 85635
- Reassigned Medicare billing, Arizona enrollment
- 372 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Center
Acute Care Hospitals · Canton, OHAdena Regional Medical Center
Acute Care Hospitals · Chillicothe, OHSagewest Health Care
Acute Care Hospitals · Riverton, WYWyoming Medical Center
Acute Care Hospitals · Casper, WYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
JACKSONVILLE, FL 32207
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 Virgilio Huerta's NPI number?
The NPI number for Virgilio Huerta is 1275774598. It was assigned to this individual provider in the NPPES registry on March 17, 2009.
Where is Virgilio Huerta located?
Virgilio Huerta practices at 820 Prudential Dr Ste 304 Credentialing Department, Jacksonville, FL 32207. The listed phone number is (904) 346-3649.
What is Virgilio Huerta's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Virgilio Huerta enrolled in Medicare?
Yes. Virgilio Huerta 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.
Which organizations bill Medicare for Virgilio Huerta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Virgilio Huerta reassigns Medicare benefits to 9 organizations: Baptist Primary Care Inc (Jacksonville, FL), Cogent Healthcare Of Jacksonville, LLC (Jacksonville, FL), Sound Physicians Of Florida Vi LLC (Fort Lauderdale, FL), Hospitalist Medicine Physicians Of Ohio-Columbus II Professional Corp (Chillicothe, OH), Hospitalist Medicine Physicians Of Richland County, Ltd (Canton, OH) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Virgilio Huerta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Virgilio Huerta accept?
Health plans from AvMed, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming and Imperial Insurance Companies, Inc. list Virgilio Huerta 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 Virgilio Huerta affiliated with any hospitals?
According to CMS data, Virgilio Huerta is affiliated with Mercy Medical Center, Adena Regional Medical Center, Sagewest Health Care and Wyoming Medical Center.
When was this NPI record last updated?
The NPPES record for Virgilio Huerta was last updated on April 11, 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.
# Dr. Virgilio R Huerta, M.D. · NPI 1275774598
Internal Medicine physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since March 17, 2009.
## Identity
- **NPI:** 1275774598 (Entity type: Individual)
- **Enumerated:** March 17, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** ME119776 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 820 PRUDENTIAL DR STE 304, CREDENTIALING DEPARTMENT, Jacksonville, FL 32207-8205
- **Phone:** (904) 346-3649 · **Fax:** (904) 348-5627
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Baptist Primary Care Inc (NPI 1588846869, Jacksonville, FL); Cogent Healthcare Of Jacksonville, LLC (NPI 1124252333, Jacksonville, FL); Sound Physicians Of Florida Vi LLC (NPI 1417761073, Fort Lauderdale, FL); Hospitalist Medicine Physicians Of Ohio-Columbus II Professional Corp (NPI 1861038069, Chillicothe, OH); Hospitalist Medicine Physicians Of Richland County, Ltd (NPI 1639119027, Canton, OH); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** April 11, 2024
- **Other identifiers:** Medicaid 013561200 (FL); Other P01387566 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1275774598) · Data from the CMS NPPES public registry.