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ROSA M PACHECO MD
NPI 1306836234
Family Medicine in Orlando, FL

Active since October 22, 2005PECOS EnrolledAccepts Medicare Assignment
1130 S SEMORAN BLVD, ORLANDO, FL 32807(407) 382-1376(321) 235-3232 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Jul 6, 2020, Oct 9, 2018 (3 updates tracked since 2018).

About Rosa M Pacheco Md NPPES

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

ROSA M PACHECO MD (NPI 1306836234) is an individual family medicine provider in Orlando, Florida, licensed in Florida (ME88490) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Ponce School Of Medicine (1990).

NPPES Registry Identity

NPI1306836234
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameROSA M PACHECOCredential: MD
Location Address1130 S SEMORAN BLVDOrlando, FL 32807-1457
Mailing Address121 S Orange Ave Ste 940Orlando, FL 32801-3234 · (321) 332-6947 · Fax (407) 658-9688
Phone(407) 382-1376
Fax(321) 235-3232
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 1990
Enumeration DateOctober 22, 2005
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedJuly 6, 2020
✔ NPI 1306836234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME88490
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.

1130 S SEMORAN BLVD, Orlando, FL 32807
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Other Identifiers 1

Medicaid267094100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Rosa M Pacheco 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 ID6507856671
PECOS Enrollment IDI20040512001454
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 3

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.
290 services122 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
89 services89 patients
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.
39 services33 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32807 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.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
67%66 patients3/55-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.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers18 claims18 services$38.21 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers15 claims15 services$15.92 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers33 claims33 services$208.15 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 5

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

DR. JAMES DOUGLAS FINNIE DC
Chiropractor
1130 S SEMORAN BLVD, SUITE E
ORLANDO, FL 32807
Orange County (407) 277-3535
FINNIE CHIROPRACTIC CENTER LLC
Chiropractor
1130 S SEMORAN BLVD, SUITE E
ORLANDO, FL 32807
Orange County (407) 277-3535
DR. WILLMA L PADRO M.D.
General Practice
1130 S SEMORAN BLVD, STE. B
ORLANDO, FL 32807
Orange County (650) 279-9703
DR. CARLOS S DIAZ BARCELO M.D.
General Practice
1130 S SEMORAN BLVD
ORLANDO, FL 32807
Orange County (407) 382-1376
JESUS RAFAEL PICHARDO MD
General Practice
1130 S SEMORAN BLVD
ORLANDO, FL 32807
Orange County (407) 382-1376

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 Rosa Pacheco's NPI number?

The NPI number for Rosa Pacheco is 1306836234. It was assigned to this individual provider in the NPPES registry on October 22, 2005.

Where is Rosa Pacheco located?

Rosa Pacheco practices at 1130 S Semoran Blvd, Orlando, FL 32807. The listed phone number is (407) 382-1376.

What is Rosa Pacheco's specialty?

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

Is Rosa Pacheco enrolled in Medicare?

Yes. Rosa Pacheco 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 Rosa Pacheco accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans list Rosa Pacheco 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 Rosa Pacheco affiliated with any hospitals?

According to CMS data, Rosa Pacheco is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Rosa Pacheco was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.