Individual provider Active NPI

Steven D Picerne, M.D.

  • Diagnostic Radiology Physician
  • Melbourne, FL
National Provider Identifier
1124046339
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME84506 Issued in FL
Practice address
1800 W Hibiscus Blvd Ste 100
Melbourne, FL 32901-2624
Phone
(321) 726-3800
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Technology Transfer Corporation 8 clinicians

Practice addresses (Care Compare)

1800 W Hibiscus Blvd
Suite 100
Melbourne, FL 32901-2624
Phone (321) 726-3800

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060324000604 FL Practitioner - Diagnostic Radiology 5991729733 Reassigns benefits to 5 organizations
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
043914CTMDDiagnostic Radiology Physician

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Community Mobile Diagnostics LLC Diagnostic Radiology CurrentSince Aug 18, 2018 Accepting new patients
American Diagnostics Services LLC Diagnostic Radiology CurrentSince Apr 15, 2018 Accepting new patients
Medical Technology Transfer Corporation Current Accepting new patients
Medical Technology Transfer Corporation CurrentSince Jan 1, 2022 Accepting new patients
Brevard Hma Diagnostic Imaging LLC Diagnostic Radiology Past Accepting new patients
Coastal Care Corporation Past Accepting new patients
American Diagnostics Services LLC Past Accepting new patients
Radiology Associates of Hartford PLLC Diagnostic Radiology Past Accepting new patients

Locations

4400 140th Ave N
Ste 200
Clearwater, FL 33762
Phone (727) 443-0389

13773 Icot Blvd
Ste 502
Clearwater, FL 33760
Phone (727) 443-0389

4400 140th Ave N
Ste 200230
Clearwater, FL 33762
Phone (727) 443-0389

1800 W Hibiscus Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 676-3535

930 Ridgebrook Rd
Fl 3
Sparks Glencoe, MD 21152
Phone (443) 662-4101

Networks

  • Freedom Health HMO Network

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 043914 CT
Diagnostic Radiology Physician 2085R0202X ME84506 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1800 W Hibiscus Blvd Ste 100
Melbourne, FL 32901-2624

Mailing address

1800 W Hibiscus Blvd Ste 100
Melbourne, FL 32901-2624
Phone (321) 726-3800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2023.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1124046339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W HIBISCUS BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012624",
            "telephone_number": "321-726-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W HIBISCUS BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012624",
            "telephone_number": "321-726-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICERNE",
        "first_name": "STEVEN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "043914",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME84506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.