DR. NICHOLAS ALEXANDER PEFKAROS M.D.
NPI 1306948344
Ophthalmology in Titusville, FL

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
96.6/100
CMS Quality Rating
1832 GARDEN ST, TITUSVILLE, FL 32796(321) 267-0008(321) 267-0002 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nicholas Alexander Pefkaros M.d. NPPES

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

DR. NICHOLAS ALEXANDER PEFKAROS M.D. (NPI 1306948344) is an individual ophthalmology provider in Titusville, Florida, licensed in Florida (ME109015) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Parrish Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2001).

NPPES Registry Identity

NPI1306948344
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. NICHOLAS ALEXANDER PEFKAROSCredential: M.D.
Location Address1832 GARDEN STTitusville, FL 32796-3200
Mailing Address1832 Garden StTitusville, FL 32796-3200 · (321) 267-0008 · Fax (321) 267-0002
Fax(321) 267-0002
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2001
Enumeration DateSeptember 1, 2006
Last NPPES UpdateApril 5, 2023
NPPES CertifiedApril 5, 2023
NPI 1306948344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in FL · ME109015 Licensed in PA · MD422617 Licensed in IN · 01064912A
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1832 GARDEN ST, Titusville, FL 32796

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

Dr. Nicholas Alexander Pefkaros 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 ID7618964735
PECOS Enrollment IDI20110407000251
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 29

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
348 services211 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
338 services248 patients
Placement of amniotic membrane on eye surface for wound healing 65778
The placement of an amniotic membrane on the eye surface is a treatment to promote healing of eye wounds. It involves placing a thin, protective layer over the eye. This layer, derived from the amniotic membrane, helps reduce inflammation and scarring, while encouraging healing.
276 services172 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
253 services175 patients
Reconstruction of conjunctiva with graft from outer eye or rearrangement 68326
Reconstruction of the conjunctiva involves repairing the eye's surface with a graft, often taken from the outer part of the eye. This procedure helps restore the eye's normal function and appearance. It's typically performed due to damage or disease.
191 services111 patients
Removal of growth of cornea 65400
The removal of a corneal growth is a procedure to eliminate abnormal tissue from the cornea, the clear front surface of the eye. This can help improve vision and alleviate discomfort. The process is typically performed by an ophthalmologist under local anesthesia.
188 services109 patients

Hospital Affiliations CMS Care Compare

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

Parrish Medical Center

Acute Care Hospitals · Titusville, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100028
Location951 N Washington AveTitusville, FL 32796 · Brevard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32796 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

96.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

e-Prescribing
99%231 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%343 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier58 claims58 services$62.97 avg. paid by Medicare
Sphere, single vision, plano to plus or minus 4.00, per lens V2100
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier19 claims37 services$26.83 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier18 claims36 services$26.10 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims21 services$42.07 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims26 services$58.10 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims22 services$9.71 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 6

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

Physician Assistant
1832 GARDEN ST, STE A
TITUSVILLE, FL 32796
Ophthalmology
1832 GARDEN ST
TITUSVILLE, FL 32796
Anesthesiology (Pain Medicine)
1832 GARDEN ST
TITUSVILLE, FL 32796
Anesthesiology (Pain Medicine)
1832 GARDEN ST
TITUSVILLE, FL 32796
Clinic/Center (Ambulatory Surgical)
1832 GARDEN ST
TITUSVILLE, FL 32796
Ophthalmology
1832 GARDEN ST
TITUSVILLE, FL 32796

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 Nicholas Pefkaros's NPI number?

The NPI number for Nicholas Pefkaros is 1306948344. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Nicholas Pefkaros located?

Nicholas Pefkaros practices at 1832 Garden St, Titusville, FL 32796. The listed phone number is (321) 267-0008.

What is Nicholas Pefkaros's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nicholas Pefkaros enrolled in Medicare?

Yes. Nicholas Pefkaros 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 Nicholas Pefkaros accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Health First Commercial Plans, Inc. and UnitedHealthcare list Nicholas Pefkaros 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 Nicholas Pefkaros affiliated with any hospitals?

According to CMS data, Nicholas Pefkaros is affiliated with Parrish Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Pefkaros was last updated on April 5, 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.