DR. DANIEL JOSE VERGARA DO
NPI 1316444045
Family Medicine in Jacksonville, FL

Q: What is Daniel Vergara's NPI number?

The NPI number for Daniel Vergara is 1316444045. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Q: What is Daniel Vergara's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Daniel Vergara was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 09, 2018PECOS Enrolled

4205 BELFORT RD STE 3075, JACKSONVILLE, FL 32216(904) 450-8140 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2021, Apr 9, 2018 (2 updates tracked since 2018).

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About Dr. Daniel Jose Vergara Do NPPES

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

DR. DANIEL JOSE VERGARA DO (NPI 1316444045) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (OS17678) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Southside, and maintains a secondary practice location in Olympia Fields.

NPPES Registry Identity

NPI1316444045

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DANIEL JOSE VERGARACredential: DO

Location Address4205 BELFORT RD STE 3075Jacksonville, FL 32216-1475

Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6017

Phone(904) 450-8140

Sole ProprietorNo

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2018

Enumeration DateApril 9, 2018

Last NPPES UpdateJuly 21, 20212 updates tracked since enumeration

NPPES CertifiedJuly 21, 2021

✔ NPI 1316444045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS17678

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4205 BELFORT RD STE 3075, Jacksonville, FL 32216

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Secondary Practice Location 1

Location 120201 Crawford AveOlympia Fields, IL 60461-1010 · Phone (708) 747-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed 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 (PECOS)

Dr. Daniel Jose Vergara Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486905676

PECOS Enrollment IDI20210805001380

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

Medicare enrollment records show Daniel Vergara reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Vincent's Full Service Urgent Care, LLC

5.3 mi

Occupational Medicine

10503 SAN JOSE BLVD
Jacksonville, FL 32257

Reassigned Medicare billing, Florida enrollment
78 clinicians in this Medicare group

NPI 1750672051 (904) 379-1203

St Vincents Ambulatory Care Inc

7.5 mi

Neurological Surgery

2 SHIRCLIFF WAY, SUITE 600
Jacksonville, FL 32204

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: St Vincent's Ambulatory Care Inc
544 clinicians in this Medicare group

NPI 1417987124 (904) 308-6769

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 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.

183 services95 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.

54 services54 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

30 services17 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.

24 services19 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

14 services14 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100307

Location4201 Belfort RdJacksonville, FL 32216 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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.

Other Providers at the Same Location NPPES 3

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

CASSAUNDRA THOMPSON

Family Medicine

4205 BELFORT RD STE 3075
JACKSONVILLE, FL 32216

Duval County (904) 296-5785

LINDSEY K HARRISON PA-C

Physician Assistant

4205 BELFORT RD STE 3075
JACKSONVILLE, FL 32216

Duval County (904) 296-5785

MALHAR AGARWAL MD

Internal Medicine

4205 BELFORT RD STE 3075
JACKSONVILLE, FL 32216

Duval County (904) 296-5785

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 Daniel Vergara's NPI number?

The NPI number for Daniel Vergara is 1316444045. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Daniel Vergara located?

Daniel Vergara practices at 4205 Belfort Rd Ste 3075, Jacksonville, FL 32216. The listed phone number is (904) 450-8140.

What is Daniel Vergara's specialty?

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

Is Daniel Vergara enrolled in Medicare?

Yes. Daniel Vergara is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Daniel Vergara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Vergara reassigns Medicare benefits to 2 organizations: St Vincent's Full Service Urgent Care, LLC (Jacksonville, FL) and St Vincents Ambulatory Care Inc (Jacksonville, FL). 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 Daniel Vergara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Vergara accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 5 other insurers list Daniel Vergara 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 Daniel Vergara affiliated with any hospitals?

According to CMS data, Daniel Vergara is affiliated with Ascension St Vincent's Southside.

When was this NPI record last updated?

The NPPES record for Daniel Vergara was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.