DR. FRANCIS X. FLOREZ M.D.
NPI 1780630053
Orthopaedic Surgery in Milwaukee, WI

NPI Status: Active since May 26, 2006

Contact Information

9200 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
Phone: (414) 805-7400
Fax: (414) 805-7388

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  • Individual
  • Male
  • Orthopaedic Surgery
  • Accepts Insurance
  • PECOS Enrolled

About FRANCIS FLOREZ

This page provides the complete NPI Profile along with additional information for Francis Florez, a provider established in Milwaukee, Wisconsin with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1780630053 assigned on May 2006. The practitioner's primary taxonomy code is 207X00000X with license number 71934 (WI). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1780630053
Provider Name
DR. FRANCIS X. FLOREZ M.D.
Gender
Male
Entity Type
Individual
Location Address
9200 W WISCONSIN AVE MILWAUKEE, WI 53226
Location Phone
(414) 805-7400
Location Fax
(414) 805-7388
Mailing Address
9200 W WISCONSIN AVE MILWAUKEE, WI 53226
Mailing Phone
(414) 805-7400
Mailing Fax
(414) 805-7388
Is Sole Proprietor?
No
Enumeration Date
05-26-2006
Last Update Date
04-19-2021
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Location Map

Secondary Locations

  • 2454 Kipling Ave Ste 120
    Cincinnati, OH 45239
    (513) 981-6784
  • 2454 Kipling Ave Ste 120
    Cincinnati, OH 45239
    (513) 981-6784
  • 3301 Mercy Health Blvd Ste 450
    Cincinnati, OH 45211
    (513) 981-6784

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
71934
License State
WI
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HMO Bronze $0 Medical Deductible - HMO
  • HMO Bronze 10000 - HMO
  • HMO Bronze 7500 - HMO
  • HMO Catastrophic 10600 with 3 free PCP visits - HMO
  • HMO Gold 2000 - HMO
  • HMO Gold 2700 - HMO
  • HMO HDHP Silver 5900 - HMO
  • HMO Silver 6000 - HMO
  • HMO Silver 6600 - HMO
  • POS Bronze 7500 - POS
  • POS Bronze 8500 - POS
  • POS Silver 6000 - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0787359MEDICAID (05)OH 

Medicare Participation & PECOS Enrollment Status

Francis Florez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 115 times for 77 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 47 times for 37 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 118 times for 88 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

This service was performed 59 times for 16 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

This service was performed 644 times for 65 patients

New patient office or other outpatient visit, 45-59 minutes

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.

This service was performed 51 times for 51 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 53226 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.92
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $20.73
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.37
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $16.84
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780630053, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 1 + 2 + 3 + 0 + 0 + 1 + 0 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1780630053.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Genetic Counselor, MS
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE, PATIENT FINANCIAL SERVICES
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE, PATIENT FINANCIAL SERVICES
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE, PATIENT FINANCIAL SERVICES
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE, PATIENT FINANCIAL SERVICES
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE, PATIENT FINANCIAL SERVICES
MILWAUKEE, WI 53226
Genetic Counselor, MS
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Internal Medicine (Nephrology)
9200 W WISCONSIN AVE, DIVISION OF NEPHROLOGY
MILWAUKEE, WI 53226
Internal Medicine (Rheumatology)
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - EAST
MILWAUKEE, WI 53226
Obstetrics & Gynecology
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - EAST
MILWAUKEE, WI 53226
Physician Assistant
9200 W WISCONSIN AVE, HOSPITAL BASED @ FROEDTERT HOSP.
MILWAUKEE, WI 53226
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - WEST
MILWAUKEE, WI 53226
Anesthesiology
9200 W WISCONSIN AVE, HOSPITAL BASED @ FROEDTERT HOSP.
MILWAUKEE, WI 53226
Physician Assistant (Medical)
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - EAST
MILWAUKEE, WI 53226
Radiology (Diagnostic Radiology)
9200 W WISCONSIN AVE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Neurological Surgery
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - WEST
MILWAUKEE, WI 53226
Family Medicine
9200 W WISCONSIN AVE, FAMILY MEDICINE PRIMARY CARE 4TH FL
MILWAUKEE, WI 53226
Emergency Medicine
9200 W WISCONSIN AVE, HOSPITAL BASED @ FROEDTERT HOSP.
MILWAUKEE, WI 53226
Internal Medicine (Cardiovascular Disease)
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - EAST
MILWAUKEE, WI 53226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780630053, enumerated as an "individual" on May 26, 2006.

The provider is located at 9200 W WISCONSIN AVE MILWAUKEE, WI 53226 and the phone number is (414) 805-7400.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Aspirus Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.