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DR. CRISTOBAL EDUARDO CORTES D.O.
NPI 1356351498
Family Medicine in Bradenton, FL

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
5712 21ST AVE W, BRADENTON, FL 34209(941) 795-0105(941) 795-6242 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Cristobal Eduardo Cortes D.o. NPPES

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

DR. CRISTOBAL EDUARDO CORTES D.O. (NPI 1356351498) is an individual family medicine provider in Bradenton, Florida, licensed in Florida (OS 8190) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Manatee Memorial Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1996).

NPPES Registry Identity

NPI1356351498
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CRISTOBAL EDUARDO CORTESCredential: D.O.
Location Address5712 21ST AVE WBradenton, FL 34209-5606
Mailing Address5712 21st Ave WBradenton, FL 34209-5606 · (941) 795-0105 · Fax (941) 795-6242
Phone(941) 795-0105
Fax(941) 795-6242
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1996
Enumeration DateAugust 9, 2006
Last NPPES UpdateSeptember 14, 2012
✔ NPI 1356351498 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 · OS 8190
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.

5712 21ST AVE W, Bradenton, FL 34209
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Other Identifiers 3

OtherOS 8190FL · License
Medicare ID-Type Unspecified35635AFL
Medicare UPINH24209FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Cristobal Eduardo Cortes 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 ID4183641061
PECOS Enrollment IDI20051031000152
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 4

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, 30-39 minutes 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.
181 services45 patients
Follow-up hospital inpatient care per day, typically 35 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.
73 services23 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
33 services19 patients
Initial hospital inpatient care per day, typically 70 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Manatee Memorial Hospital

Acute Care Hospitals · Bradenton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100035
Location206 2nd St EBradenton, FL 34208 · Manatee County
Emergency services Birthing friendly

Hca Florida Blake Hospital

Acute Care Hospitals · Bradenton, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100213
Location2020 59th St WBradenton, FL 34209 · Manatee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34209 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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
26%105 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
7%227 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
77%2,403 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
3%131 patients1/55-star benchmark: 90%
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…
27%490 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
23%334 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 402 patients
Patients tobacco: 98% · 361 patients
23%47 patients1/55-star benchmark: 98%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 5% · 131 patients
19%131 patients1/55-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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers23 claims83 services$6.44 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims29 services$1.13 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 2

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

CORTES FAMILY PHYSICIANS, P.A.
Family Medicine
5712 21ST AVE W
BRADENTON, FL 34209
Manatee County (941) 795-0105
KIMBERLY KAY HAMBY APRN, FNP-C
Nurse Practitioner (Family)
5712 21ST AVE W
BRADENTON, FL 34209
Manatee County (941) 795-0105

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 Cristobal Cortes's NPI number?

The NPI number for Cristobal Cortes is 1356351498. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Cristobal Cortes located?

Cristobal Cortes practices at 5712 21st Ave W, Bradenton, FL 34209. The listed phone number is (941) 795-0105.

What is Cristobal Cortes's specialty?

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

Is Cristobal Cortes enrolled in Medicare?

Yes. Cristobal Cortes 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 Cristobal Cortes accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Cristobal Cortes 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 Cristobal Cortes affiliated with any hospitals?

According to CMS data, Cristobal Cortes is affiliated with Manatee Memorial Hospital and Hca Florida Blake Hospital.

When was this NPI record last updated?

The NPPES record for Cristobal Cortes was last updated on September 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.