Active NPI 1992742142 Individual Practitioner Male Practitioner

Dr. Jose M Concha , DPM

Podiatrist • St Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jose Concha, DPM is a certified Podiatrist practicing in St Augustine, FL. With approximately 30 years of clinical experience since graduating from Temple University School Of Medicine in 1996, Dr. Concha delivers high-quality medical care to the local community at 200 SOUTHPARK BLVD.

Dr. Concha is affiliated with Coastal Foot And Ankle Wellness Center Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of up to 14 skin growths, removal of fingernails or toenails. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 Southpark Blvd
Suite 208

St Augustine, FL 320863129

Telephone 9048261900

Fax 9048261920

Associated Practice Facility / Clinic

🏢 Medfund Llc Facility NPI 1841293982

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in St Augustine, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +8.6 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

10 Specialists

Practicing in St Augustine, FL (818 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Concha (30 Years) 30 Yrs

St Augustine Specialty Average (21.4 Years) 21.4 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	1,162	383	$248.98	$130.04
17110 Destruction of up to 14 skin growths	912	324	$216.52	$111.01
11721 Removal of fingernails or toenails, 6 or more nails	473	165	$85.89	$44.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$326.95	$171.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	53	$351.68	$184.84
64450 Injection of anesthetic agent, other peripheral nerve or branch	61	43	$147.50	$66.42
11042 Removal of skin and tissue, 20.0 sq cm or less	58	18	$248.40	$130.32
93923 Complete ultrasound study of arm and leg arteries	41	41	$245.76	$124.81
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$176.22	$92.44
11730 Simple separation of fingernail or toenail from nail bed, first nail	33	31	$220.49	$115.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$432.66	$227.57
10061 Complicated or multiple drainage of skin abscess	15	14	$417.69	$218.63
11750 Permanent removal fingernail or toenail	13	13	$307.79	$161.32

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	1,236	401	$239.70	$126.73
17110 Destruction of up to 14 skin growths	934	325	$209.57	$108.38
11721 Removal of fingernails or toenails, 6 or more nails	509	186	$82.18	$43.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$311.04	$166.98
11042 Removal of skin and tissue, 20.0 sq cm or less	79	22	$240.08	$126.58
64450 Injection of anesthetic agent, other peripheral nerve or branch	73	53	$142.43	$66.27
99213 Established patient office or other outpatient visit, typically 15 minutes	66	58	$173.70	$89.95
28272 Incision of toe joint capsule	45	12	$731.14	$372.75
11730 Simple separation of fingernail or toenail from nail bed, first nail	28	26	$220.00	$114.02
10061 Complicated or multiple drainage of skin abscess	18	17	$398.46	$213.59
93923 Complete ultrasound study of arm and leg arteries	17	17	$228.86	$124.91
11750 Permanent removal fingernail or toenail	15	15	$301.69	$157.60

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	1,378	415	$179.94	$127.81
17110 Destruction of up to 14 skin growths	1,029	344	$157.28	$108.49
11721 Removal of fingernails or toenails, 6 or more nails	590	186	$61.58	$44.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$234.75	$169.27
11042 Removal of skin and tissue, 20.0 sq cm or less	106	24	$181.98	$128.22
99213 Established patient office or other outpatient visit, typically 15 minutes	84	76	$126.71	$90.29
64450 Injection of anesthetic agent, other peripheral nerve or branch	63	49	$110.54	$65.34
28272 Incision of toe joint capsule	47	13	$542.22	$382.81
93923 Complete ultrasound study of arm and leg arteries	37	37	$185.45	$128.09
10061 Complicated or multiple drainage of skin abscess	36	34	$297.62	$204.38
11730 Simple separation of fingernail or toenail from nail bed, first nail	24	23	$164.20	$115.90
11750 Permanent removal fingernail or toenail	21	21	$224.66	$160.78
J9040 Injection, bleomycin sulfate, 15 units	13	12	$37.90	$26.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	12	12	$3.00	$1.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17110 Destruction of up to 14 skin growths	1,116	381	$157.28	$105.74
99213 Established patient office or other outpatient visit, typically 15 minutes	886	373	$126.71	$91.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	718	372	$180.02	$131.07
11721 Removal of fingernails or toenails, 6 or more nails	622	225	$61.58	$44.61
64450 Injection of anesthetic agent, other peripheral nerve or branch	108	74	$110.44	$69.28
11042 Removal of skin and tissue, 20.0 sq cm or less	89	21	$181.98	$128.38
11755 Biopsy of fingernail or toenail	85	80	$175.94	$127.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$234.75	$171.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$155.87	$113.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	31	24	$3.00	$1.20
10061 Complicated or multiple drainage of skin abscess	30	27	$297.62	$216.96
11750 Permanent removal fingernail or toenail	24	22	$224.39	$156.83
11730 Simple separation of fingernail or toenail from nail bed, first nail	13	13	$161.69	$113.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,680	566	$112.41	$74.61
17110 Destruction of up to 14 skin growths	1,231	510	$165.78	$108.19
11721 Removal of fingernails or toenails, 6 or more nails	782	341	$68.79	$45.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	193	193	$162.91	$107.14
11042 Removal of skin and tissue, 20.0 sq cm or less	113	21	$186.03	$121.00
64450 Injection of anesthetic agent, other peripheral nerve or branch	92	68	$116.09	$66.13
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	64	58	$91.74	$60.79
28272 Incision of toe joint capsule	49	13	$595.70	$396.05
10061 Complicated or multiple drainage of skin abscess	43	39	$319.37	$213.13
11750 Permanent removal fingernail or toenail	22	19	$235.11	$153.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,808	587	$111.37	$72.91
17110 Destruction of up to 14 skin growths	1,184	493	$164.99	$106.83
11721 Removal of fingernails or toenails, 6 or more nails	882	373	$68.61	$44.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	208	208	$163.63	$107.38
64450 Injection of anesthetic agent, other peripheral nerve or branch	140	99	$116.44	$69.75
11042 Removal of skin and tissue, 20.0 sq cm or less	113	33	$182.68	$113.39
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	99	73	$91.80	$60.27
28272 Incision of toe joint capsule	72	18	$599.52	$393.45
93923 Complete ultrasound study of arm and leg arteries	61	61	$193.26	$107.24
10061 Complicated or multiple drainage of skin abscess	57	53	$314.96	$205.46
11750 Permanent removal fingernail or toenail	24	22	$233.32	$153.42
99324 New patient assisted living visit, typically 20 minutes	22	22	$84.44	$55.39
11730 Simple separation of fingernail or toenail from nail bed, first nail	13	13	$163.06	$94.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,969	648	$108.70	$69.28
17110 Destruction of up to 14 skin growths	1,191	543	$166.32	$105.09
11721 Removal of fingernails or toenails, 6 or more nails	966	427	$67.86	$43.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	210	210	$161.85	$103.53
64450 Injection of anesthetic agent, other peripheral nerve or branch	143	96	$119.67	$67.25
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	137	102	$90.21	$58.42
28272 Incision of toe joint capsule	109	30	$595.35	$365.39
11042 Removal of skin and tissue, 20.0 sq cm or less	94	30	$176.10	$94.36
10061 Complicated or multiple drainage of skin abscess	67	59	$310.44	$197.64
99324 New patient assisted living visit, typically 20 minutes	37	37	$83.06	$53.73
11750 Permanent removal fingernail or toenail	31	26	$229.25	$142.68
11730 Simple separation of fingernail or toenail from nail bed, first nail	27	27	$157.80	$97.82
11101 Biopsy of each additional growth of skin and/or tissue	23	22	$49.64	$31.94
11100 Biopsy of single growth of skin and/or tissue	23	22	$157.64	$96.62
93923 Complete ultrasound study of arm and leg arteries	14	14	$175.32	$106.92
11755 Biopsy of fingernail or toenail	11	11	$196.59	$120.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,075	633	$110.26	$69.50
11721 Removal of fingernails or toenails, 6 or more nails	1,027	449	$67.57	$42.81
17110 Destruction of up to 14 skin growths	920	432	$164.93	$104.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	180	180	$163.39	$103.76
64450 Injection of anesthetic agent, other peripheral nerve or branch	146	95	$120.40	$71.02
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	123	88	$91.43	$58.21
28272 Incision of toe joint capsule	110	34	$601.92	$363.87
11042 Removal of skin and tissue, 20.0 sq cm or less	101	29	$173.07	$106.30
99324 New patient assisted living visit, typically 20 minutes	70	70	$83.69	$53.61
10061 Complicated or multiple drainage of skin abscess	68	59	$313.49	$199.58
11100 Biopsy of single growth of skin and/or tissue	36	36	$153.85	$97.24
11101 Biopsy of each additional growth of skin and/or tissue	35	35	$49.41	$31.72
11730 Simple separation of fingernail or toenail from nail bed, first nail	31	30	$156.70	$96.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	14	$163.97	$101.45
11750 Permanent removal fingernail or toenail	17	15	$231.89	$146.26

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License FL PO2712

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

340245200 (FL)

Hospital & Practice Group Affiliations

Coastal Foot And Ankle Wellness Center Llc

3805 Crill Ave, Palatka, FL 321779170

Phone: 3863281122

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Richard Johnson , DPM

Podiatrist

NPI 1477590248

Doctor of Podiatric Medicine

Roman Ivankiv

Podiatrist - Foot Surgery

NPI 1528517331

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 27, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2010

Registered at 200 SOUTHPARK BLVD, SUITE 208, ST AUGUSTINE, FL 320863129 (Tel: 9048261900)

📍

Updated Business Mailing Address January 27, 2010

Registered at 200 SOUTHPARK BLVD, SUITE 208, ST AUGUSTINE, FL 320863129 (Tel: 9048261900)

👤

Provider Name / Credentials Updated January 27, 2010

Recorded as JOSE CONCHA, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2010

Podiatrist (License #PO2712 in FL)

🟢

Initial NPI Registration & Enumeration May 31, 2006

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: 1992742142

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 31, 2006

Last Update: January 27, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 Southpark Blvd, Suite 208

St Augustine, FL 320863129

Phone: 9048261900

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.