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JOSE O DELGADO M. D.
NPI 1801889688
Internal Medicine in Ocala, FL

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
2801 SE 1ST AVE STE 302, OCALA, FL 34471(352) 873-2880(352) 873-8751 Get Directions Write a Review

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

About Jose O Delgado M. D. NPPES

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

JOSE O DELGADO M. D. (NPI 1801889688) is an individual internal medicine provider in Ocala, Florida, licensed in Florida (ME60673) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Ocala, and maintains a secondary practice location in Ocala.

NPPES Registry Identity

NPI1801889688
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSE O DELGADOCredential: M. D.
Location Address2801 SE 1ST AVE STE 302Ocala, FL 34471
Mailing Address2801 Se 1st Ave Ste 302Ocala, FL 34471-0478 · (352) 873-2880 · Fax (352) 873-8751
Phone(352) 873-2880
Fax(352) 873-8751
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateAugust 26, 2005
Last NPPES UpdateOctober 25, 2019
✔ NPI 1801889688 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 · ME60673
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.
2801 SE 1ST AVE STE 302, Ocala, FL 34471
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Secondary Practice Location 1

Location 11040 SW 2nd AveOcala, FL 34474-4028 · Phone (352) 732-3005 · Fax (352) 732-9828

Other Identifiers 1

Medicaid269865000FL

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 and accepts Medicare assignment

Jose O Delgado 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 ID6507850138
PECOS Enrollment IDI20040414001150
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

2

Medicare enrollment records show Jose Delgado reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventhealth Primary Care Network Inc
56 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
Florida Hospital Physician Group Inc
77 mi
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
NPI 1174955256 (813) 336-5766

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.
870 services339 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.
197 services197 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.
189 services189 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.
188 services188 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.
163 services111 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100062
Location1500 SW 1st AveOcala, FL 34474 · Marion County
Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34471 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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%517 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.

Referred Medical Equipment & Supplies CMS DME claims 19

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
24 suppliers68 claims166 services$6.31 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
21 suppliers42 claims63 services$1.08 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers14 claims14 services$86.40 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers13 claims31 services$33.01 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers12 claims66 services$17.10 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers15 claims84 services$12.44 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 5

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

DAVID BRIAN ETHIER MD
Orthopaedic Surgery
2801 SE 1ST AVE STE 302
OCALA, FL 34471
Marion County (352) 237-9298
PATRICK J GRABLIN M.D.
Orthopaedic Surgery
2801 SE 1ST AVE STE 302
OCALA, FL 34471
Marion County (352) 237-9298
LYUBA BACIN RN, MSN, FNP-C
Nurse Practitioner (Family)
2801 SE 1ST AVE STE 302
OCALA, FL 34471
Marion County (352) 237-9298
DR. SARAVANAN KARUPPIAH M.D
Neurological Surgery
2801 SE 1ST AVE STE 302
OCALA, FL 34471
Marion County (352) 873-2880
DR. XINMENG ZHAO ZHAO D.O.
Internal Medicine
2801 SE 1ST AVE STE 302
OCALA, FL 34471
Marion County (352) 873-2880

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 Jose Delgado's NPI number?

The NPI number for Jose Delgado is 1801889688. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Jose Delgado located?

Jose Delgado practices at 2801 SE 1st Ave Ste 302, Ocala, FL 34471. The listed phone number is (352) 873-2880.

What is Jose Delgado's specialty?

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

Is Jose Delgado enrolled in Medicare?

Yes. Jose Delgado 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 organizations bill Medicare for Jose Delgado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Delgado reassigns Medicare benefits to 2 organizations: Adventhealth Primary Care Network Inc (Altamonte Springs, FL) and Florida Hospital Physician Group Inc (Tampa, FL). Each 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 Jose Delgado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Delgado 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 Jose Delgado 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 Jose Delgado affiliated with any hospitals?

According to CMS data, Jose Delgado is affiliated with Adventhealth Ocala and Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Jose Delgado was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.