VICTOR A MAQUERA MD
NPI 1891786059
Psychiatry & Neurology - Neurology in Orange Park, FL

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1895 KINGSLEY AVE, STE 903, ORANGE PARK, FL 32073(904) 276-1663(904) 276-2469 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Victor A Maquera Md NPPES

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

VICTOR A MAQUERA MD (NPI 1891786059) is an individual neurology provider in Orange Park, Florida, licensed in Florida (ME59449) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1891786059
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameVICTOR A MAQUERACredential: MD
Location Address1895 KINGSLEY AVE, STE 903Orange Park, FL 32073-4466
Mailing AddressPo Box 17809Jacksonville, FL 32245-7809 · (904) 723-5665 · Fax (904) 338-0951
Fax(904) 276-2469
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateNovember 4, 2005
Last NPPES UpdateJanuary 6, 2011
NPI 1891786059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in FL · ME59449
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.
1895 KINGSLEY AVE, Orange Park, FL 32073

Other Identifiers 5

Medicare UPING22429FL
Other1891786059FL · Npi
Other130013419FL · Railroad Medicare
Medicare PIN28344ZFL
Medicaid379665500FL

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

Victor A Maquera 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 ID5193777050
PECOS Enrollment IDI20100308000384
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 24

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.
819 services296 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
709 services321 patients
Nerve conduction, 11-12 studies 95912
Nerve conduction studies are tests that measure how well your nerves are working. In 11-12 studies, small electrodes are placed on your skin to send and receive electrical signals. These signals show how quickly and effectively your nerves are transmitting signals, helping to identify any nerve damage or dysfunction.
318 services290 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.
312 services40 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
152 services152 patients
Measurement of brain wave activity with video (veeg), 12-26 hours with continuous monitoring 95716
This procedure, called Video EEG, records brain wave activity for 12-26 hours. It involves wearing electrodes on your head while a video monitors your behavior. This helps identify any unusual brain activity or seizures. It's a safe, non-invasive test.
104 services34 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

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers53 claims53 services$33.77 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers39 claims39 services$68.78 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers35 claims103 services$28.35 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers28 claims168 services$16.63 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers17 claims102 services$13.84 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 suppliers51 claims51 services$44.42 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 12

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

Urology
1895 KINGSLEY AVE, SUITE 903
ORANGE PARK, FL 32073
Clinic/Center (Sleep Disorder Diagnostic)
1895 KINGSLEY AVE, SUITE 901
ORANGE PARK, FL 32073
Plastic Surgery
1895 KINGSLEY AVE, SUITE 403
ORANGE PARK, FL 32073
Orthopaedic Surgery
1895 KINGSLEY AVE, SUITE 701
ORANGE PARK, FL 32073
Physiological Laboratory
1895 KINGSLEY AVE, SUITE 1005
ORANGE PARK, FL 32073
Registered Nurse (Women's Health Care, Ambulatory)
1895 KINGSLEY AVE, SUITE 903
ORANGE PARK, FL 32073
Radiology (Diagnostic Radiology)
1895 KINGSLEY AVE, SUITE 600
ORANGE PARK, FL 32073
Otolaryngology
1895 KINGSLEY AVE, SUITE 703
ORANGE PARK, FL 32073

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 Victor Maquera's NPI number?

The NPI number for Victor Maquera is 1891786059. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Victor Maquera located?

Victor Maquera practices at 1895 Kingsley Ave Ste 903, Orange Park, FL 32073. The listed phone number is (904) 276-1663.

What is Victor Maquera's specialty?

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

Is Victor Maquera enrolled in Medicare?

Yes. Victor Maquera 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 Victor Maquera accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Victor Maquera 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 Victor Maquera affiliated with any hospitals?

According to CMS data, Victor Maquera is affiliated with Baptist Health Medical Center - Jacksonville and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Victor Maquera was last updated on January 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.