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DR. CONCEPTO M FLORES MD
NPI 1427117209
Specialist in Uniontown, PA

Active since December 07, 2006PECOS Enrolled
30 POPLAR LN, UPPER LEVEL, UNIONTOWN, PA 15401(724) 439-4800(724) 430-8967 Get Directions Write a Review

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Concepto M Flores Md NPPES

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

DR. CONCEPTO M FLORES MD (NPI 1427117209) is an individual specialist in Uniontown, Pennsylvania, licensed in Pennsylvania (MD-036344L) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427117209
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. CONCEPTO M FLORESCredential: MD
Location Address30 POPLAR LN, UPPER LEVELUniontown, PA 15401-8969
Mailing Address30 Poplar Ln, Upper LevelUniontown, PA 15401-8969 · (724) 439-4800 · Fax (724) 430-8967
Phone(724) 439-4800
Fax(724) 430-8967
Sole ProprietorNo
Enumeration DateDecember 7, 2006
Last NPPES UpdateAugust 28, 2015
✔ NPI 1427117209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD-036344L
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
30 POPLAR LN, Uniontown, PA 15401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Concepto M Flores Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Concepto Flores reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Flores & Flores Medical Associates
Same address
Health Service
30 POPLAR LANE, UPPER LEVEL
Uniontown, PA 15401
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 5 clinicians in this Medicare group
NPI 1275829731 (724) 439-4800
Greater Pittsburgh Heart & Vascular PLLC
Same address
Cardiovascular Disease
30 POPLAR LN, SUITE B
Uniontown, PA 15401
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 5 clinicians in this Medicare group
NPI 1417401621 (724) 550-4744

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

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
19 services12 patients

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…
68%108 patients3/55-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
39%49 patients2/55-star benchmark: 100%
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…
91%85 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
13%23 patients1/55-star benchmark: 98%
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 12

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$21.08 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$4.32 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$8.08 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
2 suppliers13 claims3,652 services$0.37 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims630 services$2.06 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
2 suppliers17 claims1,280 services$0.11 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.

STEPHANIE L VENERSKY CRNP
Nurse Practitioner (Family)
30 POPLAR LN
UNIONTOWN, PA 15401
Fayette County (724) 439-4800
DR. MAY R. FLORES M.D.
Family Medicine
30 POPLAR LN, UPPER LEVEL
UNIONTOWN, PA 15401
Fayette County (724) 439-4800
GREATER PITTSBURGH HEART & VASCULAR PLLC
Internal Medicine (Cardiovascular Disease)
30 POPLAR LN, SUITE B
UNIONTOWN, PA 15401
Fayette County (724) 550-4744
ARVONDA W FOSTER MSW
Social Worker
30 POPLAR LN, UPPER LEVEL SUITE A
UNIONTOWN, PA 15401
Fayette County (724) 557-6598

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 Concepto Flores's NPI number?

The NPI number for Concepto Flores is 1427117209. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Where is Concepto Flores located?

Concepto Flores practices at 30 Poplar Ln Upper Level, Uniontown, PA 15401. The listed phone number is (724) 439-4800.

What is Concepto Flores's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Concepto Flores enrolled in Medicare?

Yes. Concepto Flores is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Concepto Flores's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Concepto Flores reassigns Medicare benefits to 2 organizations: Flores & Flores Medical Associates (Uniontown, PA) and Greater Pittsburgh Heart & Vascular PLLC (Uniontown, PA). 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 Concepto Flores's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Concepto Flores was last updated on August 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.