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ROGER JULIAN NICOSIA JR. D.O.
NPI 1548213697
Family Medicine in Stuart, FL

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
1050 SE MONTEREY RD, STUART, FL 34994(772) 678-7043(772) 403-2379 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roger Julian Nicosia Jr. D.o. NPPES

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

ROGER JULIAN NICOSIA JR. D.O. (NPI 1548213697) is an individual family medicine provider in Stuart, Florida, licensed in Florida (OS5396) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1981).

NPPES Registry Identity

NPI1548213697
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROGER JULIAN NICOSIA JR.Credential: D.O.
Location Address1050 SE MONTEREY RDStuart, FL 34994-4512
Mailing Address1050 Se Monterey RdStuart, FL 34994-4512 · (772) 678-7043 · Fax (772) 403-2379
Phone(772) 678-7043
Fax(772) 403-2379
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1981
Enumeration DateMay 18, 2006
Last NPPES UpdateDecember 17, 2014
✔ NPI 1548213697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS5396
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License OS5396 (FL)
1050 SE MONTEREY RD, Stuart, FL 34994
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Other Identifiers 2

Medicare UPIND41850
Medicare UPINHN642ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.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

Roger Julian Nicosia Jr. D.o. 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 ID4082508684
PECOS Enrollment IDI20050413000335
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
148 services123 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
122 services95 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
70 services70 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
65 services65 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
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.

Reported Quality Measures

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…
97%150 patients4/55-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.

TARA ANN COBB PA-C
Physician Assistant (Surgical)
1050 SE MONTEREY RD, SUITE 400
STUART, FL 34994
Martin County (772) 288-2400
LOUIS MARTIN LIMA O.D.
Optometrist
1050 SE MONTEREY RD, #104
STUART, FL 34994
Martin County (772) 282-2020
DR. ERIN SHAW M.D.
Family Medicine
1050 SE MONTEREY RD, 201
STUART, FL 34994
Martin County (772) 678-7043
DR. ANUJ PRASHER MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1050 SE MONTEREY RD, SUITE 400
STUART, FL 34994
Martin County (772) 288-2400
FLORIDA VISION INSTITUTE INC
Ophthalmology
1050 SE MONTEREY RD, STE 104
STUART, FL 34994
Martin County (772) 283-2020
DR. REBECCA GRUNBAUM BOBO MD
Ophthalmology
1050 SE MONTEREY RD, SUITE 104
STUART, FL 34994
Martin County (772) 283-2020
BRAIN AND SPINE NEUROSUGERY,LLC
Clinic/Center (Ambulatory Surgical)
1050 SE MONTEREY RD, SUITE 102
STUART, FL 34994
Martin County (772) 220-9700
AMANDA KRISTEN GERSCH PA-C
Physician Assistant (Medical)
1050 SE MONTEREY RD, SUITE 101
STUART, FL 34994
Martin County (772) 419-0560

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 Roger Nicosia's NPI number?

The NPI number for Roger Nicosia is 1548213697. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Roger Nicosia located?

Roger Nicosia practices at 1050 SE Monterey Rd, Stuart, FL 34994. The listed phone number is (772) 678-7043.

What is Roger Nicosia's specialty?

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

Is Roger Nicosia enrolled in Medicare?

Yes. Roger Nicosia 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 Roger Nicosia accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Roger Nicosia 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 Roger Nicosia affiliated with any hospitals?

According to CMS data, Roger Nicosia is affiliated with Cleveland Clinic Martin North Hospital.

When was this NPI record last updated?

The NPPES record for Roger Nicosia was last updated on December 17, 2014. 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.