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GERALD MICELI M.D.
NPI 1396705570
Internal Medicine - Endocrinology, Diabetes & Metabolism in Ormond Beach, FL

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
300 CLYDE MORRIS BLVD STE A, ORMOND BEACH, FL 32174(386) 317-8620(386) 317-8625 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gerald Miceli M.d. NPPES

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

GERALD MICELI M.D. (NPI 1396705570) is an individual endocrinology, diabetes & metabolism provider in Ormond Beach, Florida, licensed in Florida (ME62517) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1396705570
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameGERALD MICELICredential: M.D.
Location Address300 CLYDE MORRIS BLVD STE AOrmond Beach, FL 32174-5909
Mailing Address300 Clyde Morris Blvd Ste AOrmond Beach, FL 32174-5909 · (386) 317-8620 · Fax (386) 317-8625
Phone(386) 317-8620
Fax(386) 317-8625
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 23, 2006
Last NPPES UpdateMay 17, 2023
NPPES CertifiedMay 17, 2023
✔ NPI 1396705570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in FL · ME62517
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME62517 (FL)
300 CLYDE MORRIS BLVD STE A, Ormond Beach, FL 32174
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Other Identifiers 6

Other25294WFL · Medicare Id
OtherME62517FL · Vhn
Other25294FL · Bcbs
Other460003874FL · Railroad Medicare
OtherME62517FL · Uhc
OtherME62517FL · United Benefits

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), Florida Health Care Plans.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

Gerald Miceli 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 ID1355384983
PECOS Enrollment IDI20050606000403
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 3

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.
154 services84 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
62 services31 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.
45 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32174 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
$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

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…
94%147 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 9

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers33 claims467 services$18.26 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers32 claims980 services$2.35 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers22 claims22 services$171.43 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers67 claims307 services$6.38 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers11 claims11 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers35 claims75 services$1.07 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.

DR. SAMUEL DAMAIN PEPETO CLARKE MD
Family Medicine
300 CLYDE MORRIS BLVD STE A
ORMOND BEACH, FL 32174
Flagler County (386) 317-8620
DR. JAMES WELLS BUTLER DO
Family Medicine
300 CLYDE MORRIS BLVD STE A
ORMOND BEACH, FL 32174
Flagler County (386) 317-8620
ROBERTA ASHLEY EKHOLM DO
Family Medicine
300 CLYDE MORRIS BLVD STE A
ORMOND BEACH, FL 32174
Flagler County (386) 317-8620
DHARA PATEL MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
300 CLYDE MORRIS BLVD STE A
ORMOND BEACH, FL 32174
Flagler County (386) 317-8620

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 Gerald Miceli's NPI number?

The NPI number for Gerald Miceli is 1396705570. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Gerald Miceli located?

Gerald Miceli practices at 300 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174. The listed phone number is (386) 317-8620.

What is Gerald Miceli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Gerald Miceli enrolled in Medicare?

Yes. Gerald Miceli 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 Gerald Miceli accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans list Gerald Miceli 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.

When was this NPI record last updated?

The NPPES record for Gerald Miceli was last updated on May 17, 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.