KEVIN JONATHAN CACERES (MD) – Otolaryngology Physician, NPI 1053739391
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
732 OTOLARYNGOLOGY in FL
Provider Addresses for KEVIN JONATHAN CACERES (MD)
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 322163623
Phone: (904) 450-6014
Fax: (904) 450-6401
Type: Mailing
5147 N 9TH AVE STE 325A
PENSACOLA, FL 325048700
Phone: (850) 475-9025
Fax: (850) 494-7855
Type: Location
1615 PASADENA AVE S STE 220
SOUTH PASADENA, FL 337074517
Phone: (727) 870-3223
Fax: (727) 870-4223
Type: Location
3000 MEDICAL PARK DR STE 170
TAMPA, FL 336136601
Phone: (813) 467-4262
Fax: (813) 467-4264
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $1,951.
Total Amount is formed as General ($1,951) + Research ($0) + Ownership ($0) = $1,951.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Medtronic, Inc. ($1,046).
Total Amount
$1,951
General + Research + Ownership
Payments
28
Total payment records
General Amount
$1,951
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,046 |
| Inspire Medical Systems, Inc. | $320 |
| Stryker Corporation | $273 |
| Regeneron Healthcare Solutions, Inc. | $44 |
| Acclarent, Inc | $40 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-09-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190808000355 | I | Otolaryngology | TX | TBD |
| I20200914001981 | I | Otolaryngology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 860 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 161 | 132 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 84 | 84 | $0 |
| 69210 | Removal of impacted ear wax | 58 | 53 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 43 | 40 | $0 |
Insurance plans in this area (ZIP 32216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| Physician Assistant | WI | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| Qualified Audiologist | FL | |
| Physician Assistant | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL |
Reviews
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