MARIA DEFATIMA POZUELO MD
NPI 1285681999
Internal Medicine - Pulmonary Disease in Port Saint Lucie, FL

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
1651 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952(772) 223-4978(772) 345-1815 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2023, Feb 13, 2023, Feb 22, 2017 (3 updates tracked since 2017).

About Maria Defatima Pozuelo Md NPPES

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

MARIA DEFATIMA POZUELO MD (NPI 1285681999) is an individual pulmonary disease provider in Port Saint Lucie, Florida, licensed in Florida (ME155490) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (1995).

NPPES Registry Identity

NPI1285681999
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameMARIA DEFATIMA POZUELOCredential: MD
Location Address1651 SE TIFFANY AVEPort Saint Lucie, FL 34952-7564
Mailing Address1651 Se Tiffany AvePort St Lucie, FL 34952-7564 · (772) 226-4978 · Fax (772) 945-1815
Fax(772) 345-1815
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1995
Enumeration DateMay 28, 2006
Last NPPES UpdateMay 1, 20233 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
NPI 1285681999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in FL · ME155490 Licensed in OH · 35072078
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1651 SE TIFFANY AVE, Port Saint Lucie, FL 34952

Other Identifiers 8

OtherME155490FL · Anthem Bc/bs
Other352693OH · Wellcare
OtherR72078OH · Aumma/apex
Medicaid2330561OH
MedicaidME155490FL
OtherP00224699OH · Railroad Care
Other000000369587OH · Anthem Bc/bs
Other202394952027OH · Caresource

Accepted 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

Maria Defatima Pozuelo 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 ID6901846658
PECOS Enrollment IDI20221217000311
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 7

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.
436 services313 patients
Evaluation of use of breathing device 94664
The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.
158 services136 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
141 services117 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.
71 services71 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
35 services28 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
25 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34952 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers31 claims31 services$29.66 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers13 claims25 services$0.89 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
5 suppliers13 claims13 services$14.55 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers20 claims20 services$70.55 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers21 claims63 services$28.63 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers27 claims157 services$13.94 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 20

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

Internal Medicine (Gastroenterology)
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Internal Medicine (Gastroenterology)
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Family Medicine
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Family Medicine
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Family Medicine
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Internal Medicine (Gastroenterology)
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Physician Assistant
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Internal Medicine (Critical Care Medicine)
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952

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 Maria Pozuelo's NPI number?

The NPI number for Maria Pozuelo is 1285681999. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Maria Pozuelo located?

Maria Pozuelo practices at 1651 SE Tiffany Ave, Port Saint Lucie, FL 34952. The listed phone number is (772) 223-4978.

What is Maria Pozuelo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Maria Pozuelo enrolled in Medicare?

Yes. Maria Pozuelo 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 Maria Pozuelo accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Maria Pozuelo 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 Maria Pozuelo affiliated with any hospitals?

According to CMS data, Maria Pozuelo is affiliated with Cleveland Clinic Martin North Hospital and Cleveland Clinic Indian River Hospital.

When was this NPI record last updated?

The NPPES record for Maria Pozuelo was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.