Active NPI
Earle M Pescatore Jr., D.O.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Palm Coast, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- OS11075
- Practice address
- 61 Memorial Medical Pkwy Ste 3807
Palm Coast, FL 32164-5982 - Phone
- (386) 231-5386
- Fax
- (386) 359-2945
- NPI assigned
- Jul 11, 2005
- Last updated
- Oct 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | OS11075 | FL | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | OS11075 | FL | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 036102614 | IL |
Addresses
Primary practice location
61 Memorial Medical Pkwy Ste 3807
Palm Coast, FL 32164-5982
Mailing address
770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179
Phone (386) 231-4519
Other practice location 1
751 N Rutledge St
Springfield, IL 62702-4968
Phone (217) 545-8000
Other practice location 2
2021 E Commercial Blvd
Suite 305
Ft Lauderdale, FL 33308-3763
Phone (954) 734-1298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL, IA, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Medical Center of Lincoln, LLCMemorial Physician Services
Practice addresses (Care Compare)
1 Adventhealth Way
Palm Coast, FL 32137-4702
Phone (386) 302-1800
515 N College
Lincoln, IL 62656-1401
515 N College St
Lincoln, IL 62656-1401
Phone (217) 732-9681
751 N Rutledge St
Springfield, IL 62702-4968
Phone (217) 545-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS11075 | FL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam County Memorial Hospital | Current | Accepting new patients | |
| Decatur County Hospital | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Putnam County Memorial Hospital | Current | Accepting new patients | |
| Putnam County Memorial Hospital | Current | Accepting new patients | |
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Rock Valley Women's Health Center, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
770 W Granada Blvd
Ste 101
Ormond Beach, FL 32174
Phone (386) 231-4519
1 Adventhealth Way
Palm Coast, FL 32137
Phone (330) 414-9233
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
61 Memorial Medical Pkwy
Ste 3807
Palm Coast, FL 32164
Phone (386) 586-1705
1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340
201 E Madison St
Ste 328
Springfield, IL 62702
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
1926 Oak St
Unionville, MO 63565
Phone (660) 785-1834
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- epescatore@wchclinics.gwaydirect.com
- https://fhir-usa.unify.chbase.com/org/putnamm-2b5c1bdb
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
dba SIU HealthCare
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
-
- Critical Access Hospital
- Leon, IA
- NPI 1144209255
-
- Critical Access Hospital
- Unionville, MO
- NPI 1609870195
-
dba Putnam County Memorial Hospital Rural Health Clinic
- Rural Health Clinic/Center
- Unionville, MO
- NPI 1124125539
-
dba Putnam County Memorial Hospital Pharmacy
- Community/Retail Pharmacy
- Unionville, MO
- NPI 1750763322
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
dba Rock Valley Women's Health Center
- Specialist
- Rockford, IL
- NPI 1699866681
Obstetrics & Gynecology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Palm Coast Parkway
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
dba AdventHealth Daytona Beach
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
dba AdventHealth Daytona Beach
- Clinical Medical Laboratory
- Daytona Beach, FL
- NPI 1104696178
Hospital
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1336147693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 W GRANADA BLVD STE 101",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745179",
"telephone_number": "386-231-4519",
"fax_number": "386-368-8927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 MEMORIAL MEDICAL PKWY STE 3807",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321645982",
"telephone_number": "386-231-5386",
"fax_number": "386-359-2945"
}
],
"practiceLocations": [
{
"address_1": "751 N Rutledge St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627024968",
"country_code": "US",
"telephone_number": "217-545-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2021 E Commercial Blvd",
"address_2": "Suite 305",
"address_purpose": "LOCATION",
"city": "Ft Lauderdale",
"state": "FL",
"postal_code": "333083763",
"country_code": "US",
"telephone_number": "954-734-1298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PESCATORE",
"first_name": "EARLE",
"middle_name": "M",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "OS11075",
"primary": false
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "FL",
"license": "OS11075",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036102614",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.