1. Home
  2. Directory
  3. Florida
  4. Palm Coast
  5. Family Medicine
  6. NPI Profile

DR. JECEBU JOSOL CEBALLOS M.D.
NPI 1740394352
Family Medicine in Palm Coast, FL

Active since August 19, 2006PECOS Enrolled
75/100
CMS Quality Rating
61 MEMORIAL MEDICAL PKWY, SUITE 2806, PALM COAST, FL 32164(386) 586-1920(386) 586-1921 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jecebu Josol Ceballos M.d. NPPES

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

DR. JECEBU JOSOL CEBALLOS M.D. (NPI 1740394352) is an individual family medicine provider in Palm Coast, Florida, licensed in Florida (ME96424) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740394352
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JECEBU JOSOL CEBALLOSCredential: M.D.
Location Address61 MEMORIAL MEDICAL PKWY, SUITE 2806Palm Coast, FL 32164-5981
Mailing Address61 Memorial Medical Pkwy, Suite 2806Palm Coast, FL 32164-5981 · (386) 586-1920 · Fax (386) 586-1921
Phone(386) 586-1920
Fax(386) 586-1921
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1740394352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME96424
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.
61 MEMORIAL MEDICAL PKWY, Palm Coast, FL 32164
Open in Google Maps ↗

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), Health First Commercial Plans, Inc. 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 (PECOS)

Dr. Jecebu Josol Ceballos M.d. 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.

Medicare Billing Reassignment

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

Adventhealth Primary Care Network Inc
59 mi
Family Medicine
900 HOPE WAY
Altamonte Springs, FL 32714
  • Reassigned Medicare billing, Florida enrollment
  • 395 clinicians in this Medicare group
NPI 1093493637 (407) 357-1000

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 6

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.
119 services118 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.
51 services51 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.
47 services47 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
35 services35 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.
28 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32164 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers55 claims122 services$6.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers22 claims23 services$0.95 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier12 claims12 services$76.18 avg. paid by Medicare
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier31 claims31 services$69.81 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 supplier12 claims12 services$69.38 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$30.73 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 19

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

WILLIAM BONLORE FERGUSON PHD, MD
Internal Medicine (Nephrology)
61 MEMORIAL MEDICAL PKWY, SUITE 3806
PALM COAST, FL 32164
Flagler County (386) 437-7340
DR. JOHN J CASCONE MD
Surgery
61 MEMORIAL MEDICAL PKWY, SUITE 3805
PALM COAST, FL 32164
Flagler County (386) 586-1605
RICHARD CASHIO MD PLASTIC SURGERY P.L.
Plastic Surgery
61 MEMORIAL MEDICAL PKWY, SUITE 2802
PALM COAST, FL 32164
Flagler County (386) 225-0634
JOSE RAMON GARCIA GUERRA M.D.
Psychiatry & Neurology (Neurology)
61 MEMORIAL MEDICAL PKWY, SUITE 2808
PALM COAST, FL 32164
Flagler County (386) 586-1875
DR. JEFFREY WARD D.O.
Family Medicine
61 MEMORIAL MEDICAL PKWY, SUITE 3813
PALM COAST, FL 32164
Flagler County (386) 586-1710
SAFWAN SHAMS,M.D.,P.A.
Clinic/Center (Medical Specialty)
61 MEMORIAL MEDICAL PKWY, SUITE 1-800A
PALM COAST, FL 32164
Flagler County (386) 586-1810
FLORIDA CANCER SPECIALISTS P L
Internal Medicine (Hematology & Oncology)
61 MEMORIAL MEDICAL PKWY, SUITE 3804
PALM COAST, FL 32164
Flagler County (386) 586-3438
MRS. CAROL ANN VOLANTE A.R.N.P
Nurse Practitioner (Family)
61 MEMORIAL MEDICAL PKWY, STE. 3803
PALM COAST, FL 32164
Flagler County (386) 586-1760

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 Jecebu Ceballos's NPI number?

The NPI number for Jecebu Ceballos is 1740394352. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Jecebu Ceballos located?

Jecebu Ceballos practices at 61 Memorial Medical Pkwy Suite 2806, Palm Coast, FL 32164. The listed phone number is (386) 586-1920.

What is Jecebu Ceballos's specialty?

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

Is Jecebu Ceballos enrolled in Medicare?

Yes. Jecebu Ceballos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jecebu Ceballos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jecebu Ceballos reassigns Medicare benefits to Adventhealth Primary Care Network Inc (Altamonte Springs, FL). 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 Jecebu Ceballos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jecebu Ceballos accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Jecebu Ceballos 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 Jecebu Ceballos was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.