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JORGE JOSE PESQUERA
NPI 1811315112
Psychiatry & Neurology - Neurology in Melbourne, FL

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
1350 HICKORY ST, MELBOURNE, FL 32901(321) 434-1771(321) 434-1775 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2020, Aug 13, 2019, May 21, 2019 and 1 more (4 updates tracked since 2019).

About Jorge Jose Pesquera NPPES

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

JORGE JOSE PESQUERA (NPI 1811315112) is an individual neurology provider in Melbourne, Florida, licensed in Florida (ME140308) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1811315112
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJORGE JOSE PESQUERA
Location Address1350 HICKORY STMelbourne, FL 32901-3224
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 434-1771 · Fax (321) 951-7408
Phone(321) 434-1771
Fax(321) 434-1775
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 3, 2014
Last NPPES UpdateMarch 6, 20204 updates tracked since enumeration
NPPES CertifiedMarch 6, 2020
✔ NPI 1811315112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in FL · ME140308
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedHospitalistTaxonomy 208M00000X · License ME140308 (FL)
1350 HICKORY ST, Melbourne, FL 32901
Open in Google Maps ↗

Other Identifiers 3

OtherLD155FL · Medicare
Medicaid102965900FL
OtherP02367912FL · Fl Rr Medicare

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).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jorge Jose Pesquera 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 ID4385924943
PECOS Enrollment IDI20190516001146
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.

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 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.
166 services96 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.
105 services105 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.
79 services54 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
59 services49 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
37 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
Improvement Activities40

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.

TOMOR SEDALIU
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
DR. OLGA DORJIMA EMGUSHOV MD,MPH
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
KATHERINE F. IMHOF PHARMD
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-7485
WILLIAM BRANDON EVANS FNP
Nurse Practitioner (Adult Health)
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
MRS. ALEXA NOELLE REEDY APRN
Nurse Practitioner
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (317) 805-4102
DR. NICOLE SWICORD PHARMD
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1887
DR. KEVIN H WALLACE MD
Internal Medicine (Pulmonary Disease)
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-4225
MARIA DEL C MARTINEZ M.D.
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771

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 Jorge Pesquera's NPI number?

The NPI number for Jorge Pesquera is 1811315112. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Jorge Pesquera located?

Jorge Pesquera practices at 1350 Hickory St, Melbourne, FL 32901. The listed phone number is (321) 434-1771.

What is Jorge Pesquera's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jorge Pesquera enrolled in Medicare?

Yes. Jorge Pesquera 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.

What insurance does Jorge Pesquera accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jorge Pesquera 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 Jorge Pesquera affiliated with any hospitals?

According to CMS data, Jorge Pesquera is affiliated with Holmes Regional Medical Center and Viera Hospital.

When was this NPI record last updated?

The NPPES record for Jorge Pesquera was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.