1. Home
  2. Directory
  3. Florida
  4. Port Charlotte
  5. Internal Medicine
  6. NPI Profile

GRACIELA O DEBOCCARDO MD
NPI 1609892553
Internal Medicine - Nephrology in Port Charlotte, FL

Active since July 14, 2006PECOS Enrolled
2852 TAMIAMI TRL STE 1, PORT CHARLOTTE, FL 33952(941) 505-8720(941) 505-8747 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 4, 2019, May 7, 2019 (2 updates tracked since 2019).

About Graciela O Deboccardo Md NPPES

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

GRACIELA O DEBOCCARDO MD (NPI 1609892553) is an individual nephrology provider in Port Charlotte, Florida, licensed in New York (134410) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609892553
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameGRACIELA O DEBOCCARDOCredential: MD
Location Address2852 TAMIAMI TRL STE 1Port Charlotte, FL 33952-5100
Mailing Address2852 Tamiami Trl Ste 1Port Charlotte, FL 33952-5100 · (941) 505-8720 · Fax (941) 505-8747
Phone(941) 505-8720
Fax(941) 505-8747
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateJanuary 24, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
✔ NPI 1609892553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 134410
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2852 TAMIAMI TRL STE 1, Port Charlotte, FL 33952
Open in Google Maps ↗

Other Identifiers 2

Medicaid01126618NY
Medicaid0591181NJ

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).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Graciela O Deboccardo 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 33952 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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
1 supplier15 claims11,040 services$1.22 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
17 suppliers476 claims62,769 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers211 claims36,250 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers294 claims49,440 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers121 claims18,900 services$0.97 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
16 suppliers388 claims388 services$17.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Graciela Deboccardo's NPI number?

The NPI number for Graciela Deboccardo is 1609892553. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Graciela Deboccardo located?

Graciela Deboccardo practices at 2852 Tamiami Trl Ste 1, Port Charlotte, FL 33952. The listed phone number is (941) 505-8720.

What is Graciela Deboccardo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Graciela Deboccardo enrolled in Medicare?

Yes. Graciela Deboccardo is registered in the Medicare PECOS enrollment system.

What insurance does Graciela Deboccardo accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Graciela Deboccardo 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.

When was this NPI record last updated?

The NPPES record for Graciela Deboccardo was last updated on January 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.