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Active NPI 1376151472 Individual Practitioner Male Practitioner

Dr. Canice Chukwuocha , MD

General Practice • Palm Coast, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Canice Chukwuocha, MD is a certified General Practice practicing in Palm Coast, FL. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Chukwuocha delivers high-quality medical care to the local community at 264A PALM COAST PKWY NE.

Dr. Chukwuocha is affiliated with Island Doctors Intrastate Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual alcohol misuse screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

264a Palm Coast Pkwy Ne

Palm Coast, FL 321378217

Telephone 3864465505

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Palm Coast, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -9.4 yrs vs City Avg
City Avg: 26.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Palm Coast, FL (2490 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
29.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chukwuocha (17 Years) 17 Yrs
Palm Coast Specialty Average (26.4 Years) 26.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
270 150 $188.40 $124.46
99213 Established patient office or other outpatient visit, typically 15 minutes
85 59 $142.45 $88.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
16 16 $147.00 $125.89
G0442 Annual alcohol misuse screening, 5 to 15 minutes
14 14 $25.00 $18.00
G0444 Annual depression screening, 5 to 15 minutes
12 12 $30.00 $17.98

Medical Specialties & State Licenses

CMS Verified: 2023-01-06
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN1489

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 021723

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Island Doctors Intrastate Llc

264 A Palm Coast Pkwy Ne, Palm Coast, FL 321378217

Phone: 3864465505

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Khaled Ibrahim , MD

General Practice

NPI 1497108393

Doctor of Medicine (M.D.)

Dr. Lydia Kefalidou , MD

Internal Medicine

NPI 1508833427

Doctor of Medicine (M.D.)

Brandy Lemon , FNP-C

Nurse Practitioner - Family

NPI 1558169656

Family Nurse Practitioner (Certified)

Dr. Glenn Meyers , MD

Internal Medicine

NPI 1639319080

Doctor of Medicine (M.D.)

Robin Carr

Physician Assistant

NPI 1780341669
NPI 1912469230

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 06, 2023

Registered at 264A PALM COAST PKWY NE, PALM COAST, FL 321378217 (Tel: 3864465505)

📍
Updated Business Mailing Address January 06, 2023

Registered at 2460 OLD MOULTRIE RD STE 1, ST AUGUSTINE, FL 320864198 (Tel: 9042930299)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2023

General Practice (License #ACN1489 in FL)

NPI Profile Active July 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2020

Registered at 3030 ELMSIDE DR APT 179, HOUSTON, TX 770423926 (Tel: 7738653161)

📍
Updated Business Mailing Address July 15, 2020

Registered at 3030 ELMSIDE DR APT 179, HOUSTON, TX 770423926 (Tel: 7738653161)

👤
Provider Name / Credentials Updated July 15, 2020

Recorded as CANICE CHUKWUOCHA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2020

General Practice (License #021723 in PR)

🟢
Initial NPI Registration & Enumeration July 15, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376151472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2020
Last Update: January 06, 2023
Sole Proprietor: No

Mailing Address

2460 Old Moultrie Rd Ste 1

St Augustine, FL 320864198

Phone: 9042930299

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.