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DR. CESAR OCAMPO AGTARAP M.D.
NPI 1285635698
Internal Medicine in Jackson, KY

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1550 HIGHWAY 15 S, SUITE 80, JACKSON, KY 41339(606) 693-0343(606) 693-0322 Get Directions Write a Review

NPPES record last updated: September 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Cesar Ocampo Agtarap M.d. NPPES

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

DR. CESAR OCAMPO AGTARAP M.D. (NPI 1285635698) is an individual internal medicine provider in Jackson, Kentucky, licensed in Kentucky (31497) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1285635698
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CESAR OCAMPO AGTARAPCredential: M.D.
Location Address1550 HIGHWAY 15 S, SUITE 80Jackson, KY 41339-7247
Mailing Address1550 Highway 15 S, Suite 80Jackson, KY 41339-7247 · (606) 693-0343 · Fax (606) 693-0322
Phone(606) 693-0343
Fax(606) 693-0322
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateAugust 9, 2005
Last NPPES UpdateSeptember 22, 2017
✔ NPI 1285635698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 31497
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1550 HIGHWAY 15 S, Jackson, KY 41339
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Other Identifiers 4

Other1306047105KY · Npi
Medicare ID-Type Unspecified0970001KY
Medicaid6431-4974KY
Medicare UPING09855KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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. Cesar Ocampo Agtarap 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 ID3375579360
PECOS Enrollment IDI20050712000038
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 4

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.
735 services146 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
340 services132 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
219 services99 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
37 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41339 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
98%799 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MERCY CLINIC OF JACKSON, PLLC
Specialist
1550 HIGHWAY 15 S, SUITE 80
JACKSON, KY 41339
Breathitt County (606) 693-0343
DR STEVEN HOWARD PLLC CHIROPRACTOR
Chiropractor
1550 HIGHWAY 15 S, SUITE 24
JACKSON, KY 41339
Breathitt County (606) 666-0009

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 Cesar Agtarap's NPI number?

The NPI number for Cesar Agtarap is 1285635698. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Cesar Agtarap located?

Cesar Agtarap practices at 1550 Highway 15 S Suite 80, Jackson, KY 41339. The listed phone number is (606) 693-0343.

What is Cesar Agtarap's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cesar Agtarap enrolled in Medicare?

Yes. Cesar Agtarap 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 Cesar Agtarap accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Cesar Agtarap 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.

When was this NPI record last updated?

The NPPES record for Cesar Agtarap was last updated on September 22, 2017. 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.