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ROBERT VELARDE M.D.
NPI 1295077832
Family Medicine in Gainesville, FL

Active since March 21, 2013PECOS EnrolledAccepts Medicare Assignment
4850 SW 91ST TERRACE, APT 302, GAINESVILLE, FL 32608(323) 762-3742 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2024, Nov 14, 2015 (2 updates tracked since 2015).

About Robert Velarde M.d. NPPES

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

ROBERT VELARDE M.D. (NPI 1295077832) is an individual family medicine provider in Gainesville, Florida, licensed in Texas (Q6380) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Oakbend Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1295077832
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT VELARDECredential: M.D.
Location Address4850 SW 91ST TERRACE, APT 302Gainesville, FL 32608-6037
Mailing Address4715 Merwin StHouston, TX 77027-6607 · (713) 562-6514
Phone(323) 762-3742
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 21, 2013
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1295077832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · Q6380
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License ME145312 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4850 SW 91ST TERRACE, Gainesville, FL 32608
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Secondary Practice Location 1

Location 14715 Merwin StHouston, TX 77027-6607 · Phone (713) 562-6514

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas and more.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

Robert Velarde 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 ID5193024669
PECOS Enrollment IDI20160504002320
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.

Medicare Billing Reassignments

16

Medicare enrollment records show Robert Velarde reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rosewood Hills Healthcare PC
365 mi
Internal Medicine
1 PERIMETER PARK S STE 100N
Birmingham, AL 35243
  • Reassigned Medicare billing, Alabama, Kentucky and Washington enrollments
  • 33 clinicians in this Medicare group
NPI 1922891969 (203) 666-8145
Paragon Contracting Services LLC
371 mi
Emergency Medicine
810 SAINT VINCENTS DR
Birmingham, AL 35205
  • Reassigned Medicare billing, Florida enrollment
  • 802 clinicians in this Medicare group
NPI 1225071459 (205) 939-7100
Tapestry Telehealth PLLC
671 mi
Geriatric Medicine
230 CHERRY ST
Chillicothe, OH 45601
  • Reassigned Medicare billing, Alabama, District of Columbia, Florida, Illinois, Indiana, Kansas, Kentucky, Maryland, Missouri, North Carolina, North Dakota, New Jersey, Ohio, Texas, Virginia and Washington enrollments
  • 43 clinicians in this Medicare group
NPI 1992215446 (203) 666-8145
Ess Of Nacogdoches LLC
740 mi
Emergency Medicine
1204 N MOUND ST
Nacogdoches, TX 75961
  • Reassigned Medicare billing, Texas enrollment
  • 109 clinicians in this Medicare group
NPI 1780139956 (936) 564-4611
Ess Of South Texas LLC
743 mi
Emergency Medicine
1353 N TRAVIS ST
Liberty, TX 77575
  • Reassigned Medicare billing, Texas enrollment
  • 199 clinicians in this Medicare group
NPI 1295128247 (936) 336-7316
Integrative Emergency Services Physician Group-Houston PLLC
765 mi
Emergency Medicine
4500 E SAM HOUSTON PKWY S
Pasadena, TX 77505
  • Reassigned Medicare billing, Texas enrollment
  • 644 clinicians in this Medicare group
NPI 1801458708 (713) 948-7000
Tk Emergency Physicians Group PLLC
782 mi
Emergency Medicine
1535 WEST LOOP S
Houston, TX 77027
  • Reassigned Medicare billing, Texas enrollment
  • 82 clinicians in this Medicare group
NPI 1942728019 (832) 219-3833
Jackson County Hospital District
858 mi
Emergency Medicine
1013 S. WELLS STREET
Edna, TX 77957
  • Reassigned Medicare billing, Texas enrollment
  • 100 clinicians in this Medicare group
NPI 1215971478 (361) 782-5241
Elite Hospital Partners, PLLC
875 mi
Emergency Medicine
1114 SPENCER ST
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 128 clinicians in this Medicare group
NPI 1609625995 (972) 786-3602
Emerald Fern Wellness PC
877 mi
Internal Medicine
325 N SAINT PAUL ST STE 3100
Dallas, TX 75201
  • Reassigned Medicare billing, Illinois, Indiana, Kansas, Missouri and Texas enrollments
  • 28 clinicians in this Medicare group
NPI 1134012545 (203) 666-8145

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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
108 services97 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
104 services101 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
26 services25 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Oakbend Medical Center

Acute Care Hospitals · Richmond, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450330
Location1705 Jackson StRichmond, TX 77469 · Fort Bend County
Emergency services Birthing friendly

Hca Houston Healthcare Pearland

Acute Care Hospitals · Pearland, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670106
Location11100 Shadow Creek ParkwayPearland, TX 77584 · Brazoria County
Emergency services

Altus Lumberton Hospital

Acute Care Hospitals · Lumberton, TX
OwnershipProprietary
CMS Certification Number670134
Location220 Blanco StLumberton, TX 77657 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32608 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Robert Velarde's NPI number?

The NPI number for Robert Velarde is 1295077832. It was assigned to this individual provider in the NPPES registry on March 21, 2013.

Where is Robert Velarde located?

Robert Velarde practices at 4850 SW 91st Terrace Apt 302, Gainesville, FL 32608. The listed phone number is (323) 762-3742.

What is Robert Velarde's specialty?

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

Is Robert Velarde enrolled in Medicare?

Yes. Robert Velarde 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 Robert Velarde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Velarde reassigns Medicare benefits to 16 organizations: Rosewood Hills Healthcare PC (Birmingham, AL), Paragon Contracting Services LLC (Birmingham, AL), Tapestry Telehealth PLLC (Chillicothe, OH), Ess Of Nacogdoches LLC (Nacogdoches, TX), Ess Of South Texas LLC (Liberty, TX) and 11 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 Robert Velarde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Velarde accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan and 3 other insurers list Robert Velarde 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 Robert Velarde affiliated with any hospitals?

According to CMS data, Robert Velarde is affiliated with Oakbend Medical Center, Hca Houston Healthcare Pearland and Altus Lumberton Hospital.

When was this NPI record last updated?

The NPPES record for Robert Velarde was last updated on February 8, 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.