Jose Nieto, DO
NPI 1225190002 · Gastroenterology Physician · Sebring, FL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jose Nieto, DO is a Gastroenterology Physician provider in Sebring, FL (NPI 1225190002).
Provider details
- NPI number
- 1225190002
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 20A8097 (CA)
Specialties & taxonomies
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
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
161 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 47 | $164 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 31 | $84 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 29 | $122 |
| Ultrasound Guided Needle Aspiration Or Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43242 | 24 | $253 |
| Ultrasound Exam of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43259 | 15 | $194 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 27 | 15 |
| Tirzepatidebrand: Mounjaro | 26 | — |
| Linaclotidebrand: Linzess | 18 | — |
| Metoclopramide Hcl | 16 | — |
| Omeprazole | 16 | 13 |
| Sucralfate | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$50,081 across 66 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 (1)
- 4800 Belfort RdJacksonville, FL 32256-6004Phone: (904) 398-7205Fax: (904) 396-4047
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2023-02-08
- Certified
- 2023-02-08
Frequently asked questions
- What is Jose Nieto's NPI number?
- Jose Nieto's National Provider Identifier (NPI) is 1225190002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jose Nieto's specialty?
- Jose Nieto is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Jose Nieto located?
- Jose Nieto's practice location on file with NPPES is 4200 Sun N Lake Blvd, Sebring, FL 33872-1986.
- What is Jose Nieto's phone number?
- The practice phone number listed in the NPPES registry for Jose Nieto is (863) 402-3103.
- Does Jose Nieto accept Medicare?
- Jose Nieto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jose Nieto's NPI active?
- Yes — Jose Nieto's NPI (1225190002) is active in the NPPES registry as of the last update on 2023-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.