DR. ANTONIO MANUEL PORTILLA-CINTRON JR. M.D.
NPI 1700204005
Internal Medicine in Daytona Beach, FL

Q: What is Antonio Portilla-cintron's NPI number?

The NPI number for Antonio Portilla-cintron is 1700204005. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Q: What is Antonio Portilla-cintron's specialty?

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

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1630 MASON AVE STE C, DAYTONA BEACH, FL 32117(386) 238-9064(386) 238-9063 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 5, 2019, Nov 30, 2018, Aug 17, 2016 (3 updates tracked since 2016).

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About Dr. Antonio Manuel Portilla-cintron Jr. M.d. NPPES

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

DR. ANTONIO MANUEL PORTILLA-CINTRON JR. M.D. (NPI 1700204005) is an individual internal medicine provider in Daytona Beach, Florida, licensed in Florida (ME132083) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1700204005

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ANTONIO MANUEL PORTILLA-CINTRON JR.Credential: M.D.

Location Address1630 MASON AVE STE CDaytona Beach, FL 32117-4503

Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698

Phone(386) 238-9064

Fax(386) 238-9063

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateApril 3, 2014

Last NPPES UpdateJuly 5, 20193 updates tracked since enumeration

✔ NPI 1700204005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME132083

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.

Also ListedSpecialist · Research StudyTaxonomy 1744R1102X · License 18671 (PR)

1630 MASON AVE STE C, Daytona Beach, FL 32117

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Secondary Practice Locations 3

Location 140100 Highway 27Davenport, FL 33837-5906 · Phone (863) 422-4971 · Fax (863) 419-2264

Location 2410 S 11th StLake Wales, FL 33853-4256 · Phone (863) 676-1433 · Fax (941) 676-9323

Location 3Hh7 Calle Pinto, Mansiones de CarolinaCarolina, PR 00987-8114 · Phone (787) 379-2315

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.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. Antonio Manuel Portilla-cintron Jr. M.d. 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 ID2466673124

PECOS Enrollment IDI20171010003525

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 Reassignments

Medicare enrollment records show Antonio Portilla-cintron reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Excellence Health, LLC

Same address

Family Medicine

1630 MASON AVE STE C
Daytona Beach, FL 32117

Reassigned Medicare billing, Florida enrollment
70 clinicians in this Medicare group

NPI 1447741749 (386) 238-9064

Volusia Hospitalists Plc

3.3 mi

Internal Medicine

301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117

Reassigned Medicare billing, Florida enrollment
16 clinicians in this Medicare group

NPI 1104864727 (386) 676-0255

Cogent Healthcare Of Jacksonville, LLC

6.1 mi

Internal Medicine

1515 HERBERT ST STE 210
Port Orange, FL 32129

Reassigned Medicare billing, Florida enrollment
440 clinicians in this Medicare group

NPI 1861150625 (386) 788-8313

Sound Physicians Of Florida IV, LLC

20 mi

Internal Medicine

60 MEMORIAL MEDICAL PKWY
Palm Coast, FL 32164

Reassigned Medicare billing, Florida enrollment
300 clinicians in this Medicare group

NPI 1740633635 (615) 377-5658

Inpatient Consultants Of Florida, Inc

77 mi

Internal Medicine

2001 KINGSLEY AVE
Orange Park, FL 32073

Reassigned Medicare billing, Florida enrollment
903 clinicians in this Medicare group

NPI 1396795597 (954) 377-2909

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 15

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.

1,130 services542 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

1,008 services379 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

315 services272 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

202 services178 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

187 services166 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

166 services155 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.

158 services96 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

142 services118 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.

140 services96 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

122 services92 patients

Advance care planning, first 30 minutes 99497

52 services47 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.

46 services46 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.

43 services43 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

24 services24 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

17 services15 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100068

Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

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…

96%340 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier17 claims17 services$39.78 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier19 claims19 services$13.89 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier19 claims19 services$65.52 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers25 claims25 services$18.84 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

1 supplier24 claims24 services$27.72 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier62 claims62 services$26.05 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 20

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

SARAH DALLOS APRN

Nurse Practitioner (Gerontology)