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MR. EARLE M PESCATORE JR. D.O.
NPI 1336147693
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Palm Coast, FL

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
61 MEMORIAL MEDICAL PKWY STE 3807, PALM COAST, FL 32164(386) 231-5386(386) 359-2945 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2025, May 9, 2024 (2 updates tracked since 2024).

About Mr. Earle M Pescatore Jr. D.o. NPPES

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

MR. EARLE M PESCATORE JR. D.O. (NPI 1336147693) is an individual urogynecology and reconstructive pelvic surgery provider in Palm Coast, Florida, licensed in Florida (OS11075) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336147693
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NameMR. EARLE M PESCATORE JR.Credential: D.O.
Location Address61 MEMORIAL MEDICAL PKWY STE 3807Palm Coast, FL 32164-5982
Mailing Address770 W Granada Blvd Ste 101Ormond Beach, FL 32174-5179 · (386) 231-4519 · Fax (386) 368-8927
Phone(386) 231-5386
Fax(386) 359-2945
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 11, 2005
Last NPPES UpdateOctober 6, 20252 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1336147693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in FL · OS11075
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 036102614 (IL)
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License OS11075 (FL)
61 MEMORIAL MEDICAL PKWY STE 3807, Palm Coast, FL 32164
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Secondary Practice Locations 2

Location 1751 N Rutledge StSpringfield, IL 62702-4968 · Phone (217) 545-8000
Location 22021 E Commercial Blvd, Suite 305Ft Lauderdale, FL 33308-3763 · Phone (954) 734-1298

Other Identifiers 6

Other101552IL · Health Alliance
Medicaid0369102614IL
Other10123243IL · Blue Cross Blue Shield
Other7648181IL · Aetna
OtherIL0100IL · John Deere
Medicaid036102614-2IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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

Mr. Earle M Pescatore Jr. D.o. 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 ID2567426752
PECOS Enrollment IDI20110203000110, I20200213000939
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

4

Medicare enrollment records show Earle Pescatore reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Healthcare Partners, Inc
17 mi
Internal Medicine
301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 733 clinicians in this Medicare group
NPI 1780100529 (386) 231-6000
Siu Physicians & Surgeons, Inc
859 mi
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group
NPI 1558385989 (217) 545-8000
Putnam County Memorial Hospital
1,010 mi
Critical Access
1926 OAK ST
Unionville, MO 63565
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1124125539 (Missouri)
  • 16 clinicians in this Medicare group
NPI 1609870195 (660) 947-2411
Decatur County Hospital
1,051 mi
Critical Access
1405 NW CHURCH ST
Leon, IA 50144
  • Reassigned Medicare billing, Iowa enrollment
  • 72 clinicians in this Medicare group
NPI 1144209255 (641) 446-4871

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 6

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 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.
49 services40 patients
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.
43 services37 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
19 services19 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
17 services17 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
12 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32164 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

RALPH A HIGHSHAW MD
Urology
61 MEMORIAL MEDICAL PKWY STE 3807
PALM COAST, FL 32164
Flagler County (386) 586-1705

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 Earle Pescatore's NPI number?

The NPI number for Earle Pescatore is 1336147693. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Earle Pescatore located?

Earle Pescatore practices at 61 Memorial Medical Pkwy Ste 3807, Palm Coast, FL 32164. The listed phone number is (386) 231-5386.

What is Earle Pescatore's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Earle Pescatore enrolled in Medicare?

Yes. Earle Pescatore 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 Earle Pescatore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Earle Pescatore reassigns Medicare benefits to 4 organizations: Florida Hospital Healthcare Partners, Inc (Daytona Beach, FL), Siu Physicians & Surgeons, Inc (Springfield, IL), Putnam County Memorial Hospital (Unionville, MO) and Decatur County Hospital (Leon, IA). 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 Earle Pescatore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Earle Pescatore accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. and 3 other insurers list Earle Pescatore 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 Earle Pescatore affiliated with any hospitals?

According to CMS data, Earle Pescatore is affiliated with Adventhealth Daytona Beach, Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Earle Pescatore was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.