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DR. PROSPERO ANTONIO CORTORREAL MD
NPI 1669445862
Internal Medicine in New Port Richey, FL

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
4759 US HWY 19, NEW PORT RICHEY PRIMARY CARE CENTER, NEW PORT RICHEY, FL 34652(727) 841-8772(727) 842-4727 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Prospero Antonio Cortorreal Md NPPES

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

DR. PROSPERO ANTONIO CORTORREAL MD (NPI 1669445862) is an individual internal medicine provider in New Port Richey, Florida, licensed in Florida (ME73702) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Lewisgale Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1669445862
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PROSPERO ANTONIO CORTORREALCredential: MD
Location Address4759 US HWY 19, NEW PORT RICHEY PRIMARY CARE CENTERNew Port Richey, FL 34652-4945
Mailing Address4759 Us Hwy 19, New Port Richey Primary Care CenterNew Port Richey, FL 34652-4945 · (727) 841-8772 · Fax (727) 842-4727
Phone(727) 841-8772
Fax(727) 842-4727
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateFebruary 8, 2006
Last NPPES UpdateSeptember 29, 2011
✔ NPI 1669445862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME73702
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.
4759 US HWY 19, New Port Richey, FL 34652
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Other Identifiers 3

Medicaid256219700FL
Medicare UPING00350
Medicare PINE2081WFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Prospero Antonio Cortorreal 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 ID1557486834
PECOS Enrollment IDI20170829000042
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.

Medicare Billing Reassignment

Medicare enrollment records show Prospero Cortorreal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake Spring Physician Services, LLC
642 mi
Hospitalist
1900 ELECTRIC RD
Salem, VA 24153
  • Reassigned Medicare billing, Virginia enrollment
  • 181 clinicians in this Medicare group
NPI 1568954287 (540) 776-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
333 services128 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.
190 services89 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.
75 services74 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
68 services68 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
65 services65 patients

Hospital Affiliations CMS Care Compare 2

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

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Lewisgale Hospital Pulaski

Acute Care Hospitals · Pulaski, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490116
Location2400 Lee HighwayPulaski, VA 24301 · Pulaski County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34652 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%130 patients5/55-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.

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 Prospero Cortorreal's NPI number?

The NPI number for Prospero Cortorreal is 1669445862. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Prospero Cortorreal located?

Prospero Cortorreal practices at 4759 Us Hwy 19 New Port Richey Primary Care Center, New Port Richey, FL 34652. The listed phone number is (727) 841-8772.

What is Prospero Cortorreal's specialty?

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

Is Prospero Cortorreal enrolled in Medicare?

Yes. Prospero Cortorreal 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.

Which organization bills Medicare for Prospero Cortorreal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prospero Cortorreal reassigns Medicare benefits to Lake Spring Physician Services, LLC (Salem, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prospero Cortorreal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prospero Cortorreal accept?

Health plans from Oscar Health and Oscar Insurance Company list Prospero Cortorreal 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 Prospero Cortorreal affiliated with any hospitals?

According to CMS data, Prospero Cortorreal is affiliated with Lewisgale Medical Center and Lewisgale Hospital Pulaski.

When was this NPI record last updated?

The NPPES record for Prospero Cortorreal was last updated on September 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.