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DR. ANTONIO SISON VICENCIO III M.D.
NPI 1457474728
Family Medicine in Palm Coast, FL

Active since April 09, 2007
21 HOSPITAL DR, SUITE 230, PALM COAST, FL 32164(386) 586-3466(386) 586-3467 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Antonio Sison Vicencio Iii M.d. NPPES

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

DR. ANTONIO SISON VICENCIO III M.D. (NPI 1457474728) is an individual family medicine provider in Palm Coast, Florida, licensed in Florida (ME89537) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1457474728
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANTONIO SISON VICENCIO IIICredential: M.D.
Location Address21 HOSPITAL DR, SUITE 230Palm Coast, FL 32164-2452
Mailing AddressPo Box 354339Palm Coast, FL 32135-4339 · (386) 586-3466 · Fax (386) 586-3467
Phone(386) 586-3466
Fax(386) 586-3467
Sole ProprietorYes
Enumeration DateApril 9, 2007
Last NPPES UpdateJuly 15, 2010
✔ NPI 1457474728 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 · ME89537
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.
21 HOSPITAL DR, Palm Coast, FL 32164
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Other Identifiers 4

Medicare PIN43263YFL
Other43263FL · Bc/bs
Medicaid01156032NY
Medicare UPINE44645NY

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

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
96%307 patients4/55-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…
100%388 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%315 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.

Other Providers at the Same Location NPPES 20

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

DR. DONNETTE FELICE WILLIAMS M.D.
Family Medicine
21 HOSPITAL DR, SUITE 290
PALM COAST, FL 32164
Flagler County (386) 437-7977
COASTAL FAMILY HEALTHCARE LLC
Family Medicine
21 HOSPITAL DR, SUITE 280
PALM COAST, FL 32164
Flagler County (386) 437-4711
DR. CHARLES I STEIN MD
Phlebology
21 HOSPITAL DR, SUITE 260
PALM COAST, FL 32164
Flagler County (386) 586-5344
ATLANTIC UROLOGICAL ASSOCIATES P A
Urology
21 HOSPITAL DR, SUITE 140
PALM COAST, FL 32164
Flagler County (386) 445-8530
SJB MD PA
Obstetrics & Gynecology (Gynecology)
21 HOSPITAL DR, SUITE 270
PALM COAST, FL 32164
Flagler County (386) 437-5959
CAROLINE M SARGEANT ARNP
Nurse Practitioner (Obstetrics & Gynecology)
21 HOSPITAL DR, SUITE 270
PALM COAST, FL 32164
Flagler County (386) 437-5959
TOMOKA EYE ASSOCIATES, P.A.
Durable Medical Equipment & Medical Supplies (Customized Equipment)
21 HOSPITAL DR, SUITE 160
PALM COAST, FL 32164
Flagler County (386) 586-3711
TOWN CENTER FAMILY CARE LLC
Family Medicine
21 HOSPITAL DR, STE 290
PALM COAST, FL 32164
Flagler County (386) 473-7977

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 Antonio Vicencio's NPI number?

The NPI number for Antonio Vicencio is 1457474728. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Antonio Vicencio located?

Antonio Vicencio practices at 21 Hospital Dr Suite 230, Palm Coast, FL 32164. The listed phone number is (386) 586-3466.

What is Antonio Vicencio's specialty?

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

When was this NPI record last updated?

The NPPES record for Antonio Vicencio was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.