JORGE LUIS CAMBO (MD) – Emergency Medicine Physician, NPI 1417924812

JORGE LUIS CAMBO (MD) is a healthcare provider. based in Davenport, Florida. specializing in EMERGENCY MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME48428 (FL). The NPI Number for JORGE LUIS CAMBO (MD) is 1417924812

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
JORGE LUIS CAMBO (MD)
NPI
1417924812
Phone
(863) 422-4971
Address
40100 Highway 27
Enumeration Date
3 March 2006
Last Update Date
10 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3864256100
Graduation Year
1982 (44 years ago)
PAC ID
9234030479
Group Practice PAC ID
1254238090
Professional Enrollment ID
I20100317000953
Address ID
FL327252911DE3300XBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for JORGE LUIS CAMBO (MD)

  • 40100 Highway 27

    Davenport, FL 33837

    Phone: (863) 422-4971

    Type: Location

  • Halifax Health Medical Center, 303, North Clyde Morris Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States

    DAYTONA BEACH, FL 321142709

    Phone: (386) 226-4590

    Fax: (386) 226-3371

    Type: Mailing

  • 3300 E HALIFAX CROSSING BLVD

    DELTONA, FL 327252911

    Phone: (386) 425-6100

    Fax: (386) 425-6101

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: ABBVIE INC. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$16
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: 2010-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100317000953IInternal MedicineFLTBD

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
99285Emergency department visit with high level of medical decision making2828$0
99284Emergency department visit with moderate level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 33837)

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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: 1254238090View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YFL
U R O L O G YFL
Internal Medicine, Hematology/OncologyFL
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
--
O B S T E T R I C S/ G Y N E C O L O G YFL
U R O L O G YFL

Reviews

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Frequently asked questions

Where can patients find JORGE LUIS CAMBO (MD)'s NPI?
You can confirm JORGE LUIS CAMBO (MD) with NPI 1417924812; it appears in the national provider directory.
Does this profile mean JORGE LUIS CAMBO (MD) is currently active?
Yes — JORGE LUIS CAMBO (MD) appears active in the national provider directory.
What kind of provider is JORGE LUIS CAMBO (MD)?
The page reflects Emergency Medicine Physician for JORGE LUIS CAMBO (MD). Clinical services aligned with this taxonomy classification.
Where does public data place JORGE LUIS CAMBO (MD)?
The snapshot lists Davenport, Florida for JORGE LUIS CAMBO (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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