DR. JOSE M NIETO (DO) – Gastroenterology Physician, NPI 1225190002

DR. JOSE M NIETO (DO) is a healthcare provider. based in Jacksonville, Florida. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 20A8097 (CA). The NPI Number for DR. JOSE M NIETO (DO) is 1225190002

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSE M NIETO (DO)
NPI
1225190002
Phone
(904) 398-7205
Address
4800 BELFORT RD
Enumeration Date
15 December 2006
Last Update Date
8 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2294331000
Graduation Year
2000 (26 years ago)
PAC ID
2365498664
Group Practice PAC ID
1052764677
Professional Enrollment ID
I20230915000381
Address ID
GA316021735VA2501XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,475 GASTROENTEROLOGY in FL

Provider Addresses for DR. JOSE M NIETO (DO)

  • Belfort Road, Pineland Gardens, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322566004

    Phone: (904) 398-7205

    Fax: (904) 265-4807

    Type: Mailing

  • 4200 SUN N LAKE BLVD

    SEBRING, FL 338721986

    Phone: (863) 402-3103

    Type: Mailing

  • 4800 Belfort Rd

    Jacksonville, FL 322566004

    Phone: (904) 398-7205

    Fax: (904) 396-4047

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 113 Open Payments records for all available years, with a total value of $93,875.

Total Amount is formed as General ($93,875) + Research ($0) + Ownership ($0) = $93,875.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($47,411).

Total Amount

$93,875

General + Research + Ownership

Payments

113

Total payment records

General Amount

$93,875

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-09-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070924000168IGastroenterologyFLTBD
I20230915000381IGastroenterologyGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2011$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 32256)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052764677View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YGA
Nurse PractitionerGA
Gastroenterology, Internal MedicineOH
Internal MedicineVA
Nurse PractitionerGA
Gastroenterology, Internal MedicineGA
H O S P I T A L I S TGA
Physical Medicine And RehabilitationNY
N E U R O L O G YIL
Cardiovascular Disease (Cardiology), Internal MedicineGA

Reviews

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Frequently asked questions

Can I verify DR. JOSE M NIETO (DO) with an NPI only?
You can start verification with NPI 1225190002 for DR. JOSE M NIETO (DO), then check state licensing separately.
Is DR. JOSE M NIETO (DO) listed as active for patients and plans?
The listing shows DR. JOSE M NIETO (DO) as active in the NPI system.
What taxonomy line describes DR. JOSE M NIETO (DO)?
For research purposes, treat DR. JOSE M NIETO (DO) as Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JOSE M NIETO (DO)?
DR. JOSE M NIETO (DO)'s geographic hint is Jacksonville, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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