DON BERNARD DESTEPHANO MD
NPI 1518014695
Pathology - Anatomic Pathology & Clinical Pathology in Jacksonville, FL

Active since January 04, 2007PECOS Enrolled
100/100
CMS Quality Rating
1 SHIRCLIFF WAY, DEPT OF PATHOLOGY, JACKSONVILLE, FL 32204(904) 308-3803(904) 308-2970 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Don Bernard Destephano Md NPPES

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

DON BERNARD DESTEPHANO MD (NPI 1518014695) is an individual anatomic pathology & clinical pathology provider in Jacksonville, Florida, licensed in Florida (ME53628) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518014695
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDON BERNARD DESTEPHANOCredential: MD
Location Address1 SHIRCLIFF WAY, DEPT OF PATHOLOGYJacksonville, FL 32204-4748
Mailing AddressPo Box 144333Orlando, FL 32814-4333 · (407) 422-9831 · Fax (407) 206-1767
Fax(904) 308-2970
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateOctober 9, 2018
NPI 1518014695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in FL · ME53628
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1 SHIRCLIFF WAY, Jacksonville, FL 32204

Other Identifiers 1

Medicaid064755100FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Don Bernard Destephano 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
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.

Surgery
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Nurse Practitioner (Critical Care Medicine)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32204
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Emergency Medicine
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Radiology (Diagnostic Radiology)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204

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 Don Destephano's NPI number?

The NPI number for Don Destephano is 1518014695. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Don Destephano located?

Don Destephano practices at 1 Shircliff Way Dept Of Pathology, Jacksonville, FL 32204. The listed phone number is (904) 308-3803.

What is Don Destephano's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Don Destephano enrolled in Medicare?

Yes. Don Destephano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Don Destephano was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.