DR. JOSE JOAQUIN NIEVES JR. MD
NPI 1548599269
Internal Medicine - Pulmonary Disease in Pembroke Pines, FL

Active since December 08, 2009PECOS EnrolledAccepts Medicare Assignment
29.36/100
CMS Quality Rating
10794 PINES BLVD STE 205, PEMBROKE PINES, FL 33026(954) 538-8543(954) 431-8153 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2025, Jan 3, 2022, Jul 15, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Jose Joaquin Nieves Jr. Md NPPES

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

DR. JOSE JOAQUIN NIEVES JR. MD (NPI 1548599269) is an individual pulmonary disease provider in Pembroke Pines, Florida, licensed in Florida (ME125202) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with Waldo County General Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1548599269
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JOSE JOAQUIN NIEVES JR.Credential: MD
Location Address10794 PINES BLVD STE 205Pembroke Pines, FL 33026-3920
Mailing AddressPo Box 16357Plantation, FL 33318-6357 · (305) 542-9075
Fax(954) 431-8153
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 8, 2009
Last NPPES UpdateJune 17, 20264 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1548599269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in FL · ME125202 Licensed in HI · MD26927 Licensed in ME · MD29679
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedSpecialistTaxonomy 174400000X · License 18531 (PR)
Also ListedInternal MedicineTaxonomy 207R00000X · License MD29679 (ME)
10794 PINES BLVD STE 205, Pembroke Pines, FL 33026

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

Dr. Jose Joaquin Nieves Jr. 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 ID4789987298
PECOS Enrollment IDI20250909002712
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 16

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 straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,160 services103 patients
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.
919 services166 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
854 services14 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.
693 services154 patients
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.
288 services141 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.
227 services103 patients

Hospital Affiliations CMS Care Compare

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

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201312
Location118 Northport AveBelfast, ME 04915 · Waldo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33026 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.

29.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality12.98
Promoting Interoperability0
Improvement Activities20
Cost59.91

Reported Quality Measures

Controlling High Blood Pressure
98%249 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
1%1,952 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
3%1,953 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 82% · 459 patients
Patients screened: 91% · 459 patients
0%459 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims 24

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers16 claims17 services$36.85 avg. paid by Medicare
Tracheal suction catheter, closed system, each A4605
DME-Other DME · category DE000N
1 supplier12 claims180 services$15.85 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
1 supplier12 claims48 services$3.54 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier12 claims360 services$4.50 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier12 claims48 services$7.13 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
1 supplier12 claims96 services$3.15 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 5

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

Physician Assistant
10794 PINES BLVD STE 205
PEMBROKE PINES, FL 33026
Physician Assistant (Medical)
10794 PINES BLVD STE 205
PEMBROKE PINES, FL 33026
Internal Medicine (Pulmonary Disease)
10794 PINES BLVD STE 205
PEMBROKE PINES, FL 33026
Nurse Practitioner (Acute Care)
10794 PINES BLVD STE 205
PEMBROKE PINES, FL 33026
Community/Behavioral Health
10794 PINES BLVD STE 205
PEMBROKE PINES, FL 33026

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 Jose Nieves's NPI number?

The NPI number for Jose Nieves is 1548599269. It was assigned to this individual provider in the NPPES registry on December 8, 2009.

Where is Jose Nieves located?

Jose Nieves practices at 10794 Pines Blvd Ste 205, Pembroke Pines, FL 33026. The listed phone number is (954) 538-8543.

What is Jose Nieves's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jose Nieves enrolled in Medicare?

Yes. Jose Nieves 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 Jose Nieves accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross and Blue Shield of Alabama and 2 other insurers list Jose Nieves 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 Jose Nieves affiliated with any hospitals?

According to CMS data, Jose Nieves is affiliated with Waldo County General Hospital.

When was this NPI record last updated?

The NPPES record for Jose Nieves was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.