JOSE D CERON-FUENTES M.D.
NPI 1861581852
Hospitalist in Jacksonville, FL

Q: What is Jose Ceron-fuentes's NPI number?

The NPI number for Jose Ceron-fuentes is 1861581852. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Jose Ceron-fuentes's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment

91.62/100

CMS Quality Rating

820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207(904) 202-3860(904) 202-3846 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 26, 2024, Dec 2, 2019 (2 updates tracked since 2019).

On this page

About Jose D Ceron-fuentes M.d. NPPES

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

JOSE D CERON-FUENTES M.D. (NPI 1861581852) is an individual hospitalist provider in Jacksonville, Florida, licensed in Florida (ME95797) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1861581852

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameJOSE D CERON-FUENTESCredential: M.D.

Location Address820 PRUDENTIAL DR STE 304Jacksonville, FL 32207-8205

Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-1032 · Fax (904) 376-4107

Phone(904) 202-3860

Fax(904) 202-3846

Sole ProprietorYes

Medical School CMSOtherGraduated 1996

Enumeration DateOctober 11, 2006

Last NPPES UpdateJune 26, 20242 updates tracked since enumeration

NPPES CertifiedJune 26, 2024

✔ NPI 1861581852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in FL · ME95797

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME95797 (FL)

820 PRUDENTIAL DR STE 304, Jacksonville, FL 32207

Open in Google Maps ↗

Other Identifiers 1

Medicaid277524700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 D Ceron-fuentes 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 ID5597764027

PECOS Enrollment IDI20061212000069

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

Medicare enrollment records show Jose Ceron-fuentes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Primary Care Inc

Same address

Infectious Disease

820 PRUDENTIAL DR, SUITE 515
Jacksonville, FL 32207

Reassigned Medicare billing, Florida enrollment
569 clinicians in this Medicare group

NPI 1588846869 (904) 396-4886

Inpatient Consultants Of Florida, Inc

11 mi

Internal Medicine

2001 KINGSLEY AVE
Orange Park, FL 32073

Reassigned Medicare billing, Florida enrollment
903 clinicians in this Medicare group

NPI 1396795597 (954) 377-2909

Cape Coral Hospitalists Inc

260 mi

Internal Medicine

13607 PINE VILLA LN
Fort Myers, FL 33912

Reassigned Medicare billing, Florida enrollment
139 clinicians in this Medicare group

NPI 1336209790 (239) 938-6192

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 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.

594 services243 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.

307 services166 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

129 services129 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.

51 services51 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

45 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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.

91.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.61

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier17 claims17 services$25.15 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 20

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

SANDRELA MUSSALLAM ABU SHAIBEH

Hospitalist