Doctor profile · Federal record
Dr. Jose Vergara, ARNP
Family Nurse Practitioner (CMS: Nurse Practitioner) · Hialeah, FL
- NPI 1154617454
- Accepts Medicare
- MIPS 10.4 / 100 · 2023
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7375 W 18 Ave
Hialeah, FL 33014
(305) 333-8623
Credentials & registration
- NPI registered
- June 2011 — 15 yrs on file
- Profile last updated
- July 30, 2018
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Florida #ARNP9380680
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154617454. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,993
Distinct HCPCS
10
Medicare allowed
$240,912
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99348 |
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 825 | 291 | $68 | |
99349 |
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 791 | 288 | $115 | |
99347 |
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 716 | 262 | $39 | |
G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 193 | 111 | $46 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 105 | 105 | $115 | |
G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 94 | 33 | $37 | |
99344 |
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 86 | 86 | $129 | |
G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 79 | 79 | $148 | |
90792 |
Psychiatric diagnostic evaluation with medical services | 69 | 69 | $173 | |
99496 |
Transitional care management services for problem of high complexity | 23 | 20 | $247 |
In context: peer comparison
Among 25 peers in Hialeah Family Nurse Practitioner, average services per provider: 82. This provider delivers 37× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
6,540
Patients
868
Total drug cost
$100,141
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Quetiapine Fumarate | Generic | 1,012 | 101 | $21,125 |
| Atorvastatin Calcium | Generic | 659 | 85 | $8,965 |
| Mirtazapine | Generic | 498 | 77 | $11,121 |
| Levothyroxine Sodium | Generic | 493 | 62 | $5,558 |
| Trazodone Hcl | Generic | 441 | 64 | $5,393 |
| Pantoprazole Sodium | Generic | 433 | 57 | $5,373 |
| Famotidine | Generic | 368 | 49 | $3,531 |
| Sertraline Hcl | Generic | 358 | 61 | $3,156 |
| Divalproex Sodium | Generic | 352 | 50 | $8,419 |
| Temazepam | Generic | 347 | 56 | $3,360 |
Frequently asked questions
What is Dr. Jose Vergara's medical specialty?
Dr. Jose Vergara practices Family Nurse Practitioner in Hialeah, FL.
Where does Dr. Jose Vergara practice?
Dr. Jose Vergara practices at 7375 W 18 Ave, Hialeah, FL 33014. Office phone: 3053338623.
What is Dr. Jose Vergara's NPI?
Dr. Jose Vergara's National Provider Identifier (NPI) is 1154617454, issued by NPPES.
Does Dr. Jose Vergara accept Medicare assignment?
Yes. Dr. Jose Vergara accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jose Vergara commonly perform?
Top Medicare-reported procedures in 2023: Residence visit for established patient with low level of medical decision making (HCPCS 99348); Residence visit for established patient with moderate level of medical decision making (HCPCS 99349); Residence visit for established patient with straightforward medical decision making (HCPCS 99347). Source: CMS Medicare Physician & Other Practitioners file.