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DR. JEROME VITALE D.M.D.
NPI 1942423280
Dentist - General Practice in Port Lucie, FL

Active since April 11, 2007PECOS Enrolled
1343 SE PORT ST LUCIE BLVD, PORT LUCIE, FL 34952(772) 337-1111(772) 337-6352 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jerome Vitale D.m.d. NPPES

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

DR. JEROME VITALE D.M.D. (NPI 1942423280) is an individual general practice provider in Port Lucie, Florida, licensed in Florida (DN13975) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942423280
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEROME VITALECredential: D.M.D.
Location Address1343 SE PORT ST LUCIE BLVDPort Lucie, FL 34952
Mailing Address1343 Se Port St Lucie BlvdPort Lucie, FL 34952 · (772) 337-1111 · Fax (772) 337-6352
Phone(772) 337-1111
Fax(772) 337-6352
Sole ProprietorNo
Enumeration DateApril 11, 2007
Last NPPES UpdateSeptember 6, 2024
✔ NPI 1942423280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in FL · DN13975✔ Licensed in NY · 043398
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1343 SE PORT ST LUCIE BLVD, Port Lucie, FL 34952
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerome Vitale D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34952 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. JOHN S CAIRNS DDS
Dentist (General Practice)
1343 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-1111
DR. JULIE A CROMER DDS
Dentist
1343 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-1111
BOULEVARD DENTAL ASSOCIATES
Dentist
1343 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 337-1111
BOULEVARD CENTER FOR ADVANCED DENTISTRY
Clinic/Center (Dental)
1343 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-1111

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 Jerome Vitale's NPI number?

The NPI number for Jerome Vitale is 1942423280. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Jerome Vitale located?

Jerome Vitale practices at 1343 SE Port St Lucie Blvd, Port Lucie, FL 34952. The listed phone number is (772) 337-1111.

What is Jerome Vitale's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jerome Vitale enrolled in Medicare?

Yes. Jerome Vitale is registered in the Medicare PECOS enrollment system.

What insurance does Jerome Vitale accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Jerome Vitale 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.

When was this NPI record last updated?

The NPPES record for Jerome Vitale was last updated on September 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.