CECIL A. CHERIAN M.D.
NPI 1396970950
Family Medicine in Ruskin, FL

Active since May 26, 2009PECOS EnrolledAccepts Medicare Assignment
68.93/100
CMS Quality Rating
781 CYPRESS VILLAGE BLVD, RUSKIN, FL 33573(813) 633-3600(813) 634-8210 Get Directions Write a Review

NPPES record last updated: December 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2016, Feb 3, 2016 (2 updates tracked since 2016).

About Cecil A. Cherian M.d. NPPES

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

CECIL A. CHERIAN M.D. (NPI 1396970950) is an individual family medicine provider in Ruskin, Florida, licensed in Florida (ME113498) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1396970950
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCECIL A. CHERIANCredential: M.D.
Location Address781 CYPRESS VILLAGE BLVDRuskin, FL 33573-6801
Mailing Address10051 5th Street North Attn: Credentialing, Suite 200St Petersburg, FL 33702 · (727) 824-0780 · Fax (813) 634-8210
Fax(813) 634-8210
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 26, 2009
Last NPPES UpdateDecember 15, 20162 updates tracked since enumeration
NPI 1396970950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in FL · ME113498 Licensed in OK · 27027
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.
781 CYPRESS VILLAGE BLVD, Ruskin, FL 33573

Other Identifiers 2

Medicaid006501200FL
Medicare PINGJ273ZFL

Accepted 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

Cecil A. Cherian 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 ID1254588627
PECOS Enrollment IDI20161205001226
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 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.
737 services221 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.
142 services140 patients
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.
122 services56 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.
98 services96 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.
56 services55 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
56 services56 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33573 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.

68.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.15
Improvement Activities0
Cost83.57

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 suppliers26 claims26 services$15.60 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
4 suppliers35 claims35 services$71.40 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 5

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

Family Medicine
781 CYPRESS VILLAGE BLVD
RUSKIN, FL 33573
Nurse Practitioner (Adult Health)
781 CYPRESS VILLAGE BLVD
SUN CITY CENTER, FL 33573
Family Medicine
781 CYPRESS VILLAGE BLVD
SUN CITY CENTER, FL 33573
Physician Assistant (Medical)
781 CYPRESS VILLAGE BLVD
SUN CITY CENTER, FL 33573
Clinic/Center (Primary Care)
781 CYPRESS VILLAGE BLVD
RUSKIN, FL 33573

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 Cecil Cherian's NPI number?

The NPI number for Cecil Cherian is 1396970950. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Cecil Cherian located?

Cecil Cherian practices at 781 Cypress Village Blvd, Ruskin, FL 33573. The listed phone number is (813) 633-3600.

What is Cecil Cherian's specialty?

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

Is Cecil Cherian enrolled in Medicare?

Yes. Cecil Cherian 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 Cecil Cherian accept?

Health plans from Blue Cross and Blue Shield of Texas list Cecil Cherian 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 Cecil Cherian affiliated with any hospitals?

According to CMS data, Cecil Cherian is affiliated with Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Cecil Cherian was last updated on December 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.