Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922204478 Individual Practitioner Male Practitioner

Dr. Luis Felipe Cordero , MD

General Practice • St Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Luis Cordero, MD is a certified General Practice practicing in St Augustine, FL. With approximately 10 years of clinical experience since completing medical education in 2016, Dr. Cordero delivers high-quality medical care to the local community at 2460 OLD MOULTRIE RD STE 5.

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

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2460 Old Moultrie Rd Ste 5

St Augustine, FL 320864198

Telephone 9047975740
Fax 9047975741

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in St Augustine, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -7.0 yrs vs City Avg
City Avg: 17.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
8 Specialists

Practicing in St Augustine, FL (2490 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cordero (10 Years) 10 Yrs
St Augustine Specialty Average (17.0 Years) 17.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes
39 27 $144.00 $88.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 13 $204.00 $124.25

Medical Specialties & State Licenses

CMS Verified: 2023-11-17
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN1274

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

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License PR 14263

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Hospital & Practice Group Affiliations

Island Doctors Intrastate Llc

2460 Old Moultrie Rd, St Augustine, FL 320864198

Phone: 9047975740

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1154391753

Doctor of Osteopathic Medicine (D.O.)

Michael Havro , PA-C

Physician Assistant

NPI 1164162251

Physician Assistant (Certified)

David Skaggs

Physician Assistant - Medical

NPI 1316268311

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location November 17, 2023

Registered at 2460 OLD MOULTRIE RD STE 5, ST AUGUSTINE, FL 320864198 (Tel: 9047975740)

📍
Updated Business Mailing Address November 17, 2023

Registered at 2460 OLD MOULTRIE RD STE 5, ST AUGUSTINE, FL 320864198 (Tel: 9047975740)

NPI Profile Active July 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2017

Registered at 400 N STATE ROAD 19 STE 48, PALATKA, FL 321772449 (Tel: 3863298800)

📍
Updated Business Mailing Address July 20, 2017

Registered at 400 N STATE ROAD 19 STE 48, PALATKA, FL 321772449 (Tel: (386) 329-8800)

👤
Provider Name / Credentials Updated July 20, 2017

Recorded as LUIS CORDERO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2017

Family Medicine (License #14263 in PR)

NPI Profile Active February 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2016

Registered at 96 ALI WAY CREEKSIDE SOUTH, OXFORD, AL 36203 (Tel: 2568324141)

📍
Updated Business Mailing Address February 23, 2016

Registered at 96 ALI WAY, OXFORD, AL 36203 (Tel: 2568324141)

👤
Provider Name / Credentials Updated February 23, 2016

Recorded as LUIS CORDERO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2016

Family Medicine (License #14263 in PR)

🟢
Initial NPI Registration & Enumeration June 22, 2007

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: 1922204478
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2007
Last Update: November 17, 2023
Sole Proprietor: No

Mailing Address

2460 Old Moultrie Rd Ste 5

St Augustine, FL 320864198

Phone: 9047975740

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.