Gualberto Oquendo, MD
NPI 1093964819 · Physical Medicine & Rehabilitation Physician · Clermont, FL
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gualberto Oquendo, MD is a Physical Medicine & Rehabilitation Physician provider in Clermont, FL (NPI 1093964819).
Provider details
- NPI number
- 1093964819
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 114521 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
970 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 487 | $125 |
| Chronic Pain Management and Treatment, Monthly Bundle Including, Diagnosis; Assessment and Monitoring; Administration of a Validated Pain Rating Scale Or Tool; the Development, Implementation, Revision, And/Or Maintenance of a Person-Centered Care Plan ThaG3002 | 436 | $81 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 47 | $163 |
Typical Medicare-allowed amounts for these services range $81–$163 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 27 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 855 | 100 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 587 | 94 |
| Oxycodone Hcl | 509 | 57 |
| Pregabalin | 453 | 73 |
| Gabapentin | 431 | 78 |
| Baclofen | 413 | 67 |
| Tramadol Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$109 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1198 Cypress Glen CirKissimmee, FL 34741-7560Phone: (352) 404-6959Fax: (352) 404-6960
- 621 Wilkinson StOrlando, FL 32803-1047Phone: (352) 404-6959Fax: (352) 404-6960
Registry dates
- Enumerated
- 2008-09-17
- Last updated
- 2018-03-17
Frequently asked questions
- What is Gualberto Oquendo's NPI number?
- Gualberto Oquendo's National Provider Identifier (NPI) is 1093964819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gualberto Oquendo's specialty?
- Gualberto Oquendo is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Gualberto Oquendo located?
- Gualberto Oquendo's practice location on file with NPPES is 720 Almond St, Clermont, FL 34711-3124.
- What is Gualberto Oquendo's phone number?
- The practice phone number listed in the NPPES registry for Gualberto Oquendo is (352) 404-6959.
- Does Gualberto Oquendo accept Medicare?
- Gualberto Oquendo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gualberto Oquendo's NPI active?
- Yes — Gualberto Oquendo's NPI (1093964819) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.