NICHOLAS P VERNACE MD
NPI 1497216204
Internal Medicine in Stuart, FL

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
200 SE HOSPITAL AVE # 2346, STUART, FL 34994(772) 287-5200 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicholas P Vernace Md NPPES

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

NICHOLAS P VERNACE MD (NPI 1497216204) is an individual internal medicine provider in Stuart, Florida, licensed in Florida (ME154836) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1497216204
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLAS P VERNACECredential: MD
Location Address200 SE HOSPITAL AVE # 2346Stuart, FL 34994-2346
Mailing Address409 Se High School AveStuart, FL 34994-2307 · (321) 704-6883
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 26, 2019
Last NPPES UpdateJuly 5, 2022
NPPES CertifiedJuly 5, 2022
NPI 1497216204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME154836
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

200 SE HOSPITAL AVE # 2346, Stuart, FL 34994

Secondary Practice Location 1

Location 11600 SW Archer Rd Ste 4102Gainesville, FL 32610-3003 · Phone (352) 265-0239

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

Nicholas P Vernace Md 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 ID1355672056
PECOS Enrollment IDI20220712002638
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.

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.
554 services203 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.
146 services140 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.
73 services73 patients
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.
51 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100260
Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34994 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
200 SE HOSPITAL AVE # 2346
STUART, FL 34994
Internal Medicine
200 SE HOSPITAL AVE # 2346
STUART, FL 34994
Physician Assistant
200 SE HOSPITAL AVE # 2346
STUART, FL 34994
Internal Medicine
200 SE HOSPITAL AVE # 2346
STUART, FL 34994
Family Medicine
200 SE HOSPITAL AVE # 2346
STUART, FL 34994
Thoracic Surgery (Cardiothoracic Vascular Surgery)
200 SE HOSPITAL AVE # 2346
STUART, FL 34994
Urology
200 SE HOSPITAL AVE # 2346
STUART, FL 34994
Obstetrics & Gynecology
200 SE HOSPITAL AVE # 2346
STUART, FL 34994

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 Nicholas Vernace's NPI number?

The NPI number for Nicholas Vernace is 1497216204. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Nicholas Vernace located?

Nicholas Vernace practices at 200 SE Hospital Ave # 2346, Stuart, FL 34994. The listed phone number is (772) 287-5200.

What is Nicholas Vernace's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicholas Vernace enrolled in Medicare?

Yes. Nicholas Vernace 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 Nicholas Vernace accept?

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

According to CMS data, Nicholas Vernace is affiliated with Cleveland Clinic Martin North Hospital and St Lucie Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Vernace was last updated on July 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.