Nicholas Alexander Pefkaros, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME109015 Issued in FL

Practice address

1832 Garden St
Titusville, FL 32796-3200

Phone

(321) 267-0008

Fax

(321) 267-0002

NPI assigned

Sep 1, 2006

Last updated

Apr 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

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

Specialty

Ophthalmology

Education

Jefferson Medical College of Thomas Jefferson University, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Space Coast Ophthalmology LLCGroup PAC ID 4688950611, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parrish Medical Center Hospital, Titusville, FL, CCN 100028

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Space Coast Ophthalmology LLC

  • Ophthalmology Physician
  • Titusville, FL
  • NPI 1962954107
  Medicare reassignment Care Compare group Authorized official
• Sco Eye Surgery LLC

  • Ambulatory Surgical Clinic/Center
  • Titusville, FL
  • NPI 1669218285
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Brevard County Hospital District

  dba Parrish Medical Center

  • General Acute Care Hospital
  • Titusville, FL
  • NPI 1053424648
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1306948344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963200",
            "telephone_number": "321-267-0008",
            "fax_number": "321-267-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963200",
            "telephone_number": "321-267-0008",
            "fax_number": "321-267-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEFKAROS",
        "first_name": "NICHOLAS",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD422617",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01064912A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME109015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabatino A. Patrizio, M.D.
• Jessica Nicole Migdalski Paul, DPT
• Nicholas Christopher Paul, ARNP
• Alphonse M Pecoraro, MD
• Taha Peerzada, DMD
• Steven H Perelmuter, DMD
• Perez & Rivera P L
• Peter E. Balsam, MD, Facg
• Mallory Peterson
• Michael Pfeiffer, D.P.T.

• Ophthalmology Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.