DR. JOHN FLAHERTY MD
NPI 1821089301
Family Medicine in Titusville, FL

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
1855 KNOX MCRAE DR, TITUSVILLE, FL 32780(321) 269-2028(321) 264-0730 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2024, Aug 31, 2017 (2 updates tracked since 2017).

About Dr. John Flaherty Md NPPES

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

DR. JOHN FLAHERTY MD (NPI 1821089301) is an individual family medicine provider in Titusville, Florida, licensed in Florida (ME47149) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1821089301
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN FLAHERTYCredential: MD
Location Address1855 KNOX MCRAE DRTitusville, FL 32780
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306
Fax(321) 264-0730
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateNovember 2, 2005
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
NPI 1821089301 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 · ME47149
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.
1855 KNOX MCRAE DR, Titusville, FL 32780

Other Identifiers 2

OtherP01678917FL · Rrmr
Other05593XFL · Medicare

Accepted 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

Dr. John Flaherty Md 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 ID9830215938
PECOS Enrollment IDI20100927000511
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 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.
110 services97 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
13 services13 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.
13 services13 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.
12 services12 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 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

Parrish Medical Center

Acute Care Hospitals · Titusville, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100028
Location951 N Washington AveTitusville, FL 32796 · Brevard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32780 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.

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

Referred Medical Equipment & Supplies CMS DME claims 12

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 suppliers39 claims116 services$6.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers21 claims24 services$0.91 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers19 claims19 services$34.61 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers13 claims13 services$72.81 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers15 claims86 services$11.39 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers22 claims22 services$44.49 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 10

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

Nurse Practitioner (Family)
1855 KNOX MCRAE DR
TITUSVILLE, FL 32780
Nurse Practitioner (Family)
1855 KNOX MCRAE DR
TITUSVILLE, FL 32780
Nurse Practitioner (Family)
1855 KNOX MCRAE DR
TITUSVILLE, FL 32780
Nurse Practitioner
1855 KNOX MCRAE DR
TITUSVILLE, FL 32780
General Practice
1855 KNOX MCRAE DR
TITUSVILLE, FL 32780
Nurse Practitioner (Family)
1855 KNOX MCRAE DR
TITUSVILLE, FL 32780
Nurse Practitioner (Family)
1855 KNOX MCRAE DR
TITUSVILLE, FL 32780
Family Medicine
1855 KNOX MCRAE DR
TITUSVILLE, FL 32780

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 John Flaherty's NPI number?

The NPI number for John Flaherty is 1821089301. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is John Flaherty located?

John Flaherty practices at 1855 Knox Mcrae Dr, Titusville, FL 32780. The listed phone number is (321) 269-2028.

What is John Flaherty's specialty?

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

Is John Flaherty enrolled in Medicare?

Yes. John Flaherty 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 John Flaherty accept?

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

According to CMS data, John Flaherty is affiliated with Holmes Regional Medical Center and Parrish Medical Center.

When was this NPI record last updated?

The NPPES record for John Flaherty was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.