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DR. MICHAEL J USBERGHI DO
NPI 1346478138
Family Medicine in Ocala, FL

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment
1431 SW 1ST AVENUE, OCALA, FL 34471(352) 304-5990(540) 635-1673 Get Directions Write a Review

NPPES record last updated: February 22, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael J Usberghi Do NPPES

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

DR. MICHAEL J USBERGHI DO (NPI 1346478138) is an individual family medicine provider in Ocala, Florida, licensed in Virginia (0116021693) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Marion Communtiy Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2009).

NPPES Registry Identity

NPI1346478138
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL J USBERGHICredential: DO
Location Address1431 SW 1ST AVENUEOcala, FL 34471-0000
Mailing Address910 Sw 1st Avenue, Suite 201Ocala, FL 34471-0000 · (352) 304-5990 · Fax (352) 304-5993
Phone(352) 304-5990
Fax(540) 635-1673
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2009
Enumeration DateJune 30, 2009
Last NPPES UpdateFebruary 22, 2013
✔ NPI 1346478138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0116021693
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.

1431 SW 1ST AVENUE, Ocala, FL 34471
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Other Identifiers 1

Medicare PINGY202ZFL

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. Michael J Usberghi Do 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 ID2163676321
PECOS Enrollment IDI20130218000148
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
287 services128 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
124 services71 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
84 services83 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
66 services66 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
62 services62 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100212
Location1431 SW 1st AveOcala, FL 34471 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34471 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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%149 patients5/55-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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers22 claims22 services$15.81 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers22 claims22 services$80.01 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 4

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

MR. GLENN EDWARD SMITH CRNA
Nurse Anesthetist, Certified Registered
1431 SW 1ST AVENUE
OCALA, FL 34471
Marion County (352) 401-1000
DR. DARIN SHAYNE BROWN MD
Family Medicine
1431 SW 1ST AVENUE, SUITE 201
OCALA, FL 34471
Marion County (352) 304-5990
NABEEL HUSSAIN M.D
Student in an Organized Health Care Education/Training Program
1431 SW 1ST AVENUE, BITZER BLDG, SUITE 7
OCALA, FL 34471
Marion County (352) 401-1425
HASAN AUDAY ADNAN AL-ALI M.D.
Student in an Organized Health Care Education/Training Program
1431 SW 1ST AVENUE, BITZER BLDG. SUITE 7
OCALA, FL 34471
Marion County (352) 401-1425

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 Michael Usberghi's NPI number?

The NPI number for Michael Usberghi is 1346478138. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Michael Usberghi located?

Michael Usberghi practices at 1431 SW 1st Avenue, Ocala, FL 34471. The listed phone number is (352) 304-5990.

What is Michael Usberghi's specialty?

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

Is Michael Usberghi enrolled in Medicare?

Yes. Michael Usberghi 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.

Is Michael Usberghi affiliated with any hospitals?

According to CMS data, Michael Usberghi is affiliated with Marion Communtiy Hospital.

When was this NPI record last updated?

The NPPES record for Michael Usberghi was last updated on February 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.