Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Roberto A Nicodemo , PA

Physician Assistant • Kissimmee, FL

Active NPI 1831112416 Individual Practitioner Male Practitioner
Practice location in NPPES

1044 Plaza Dr
Kissimmee, FL 347434064

Call 4073505659 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1044 Plaza Dr

Kissimmee, FL 347434064

Telephone 4073505659
Fax 4073505662
Organization at the Same NPPES Address or Phone
Medical Home Alliance Llc Facility NPI 1235668435

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Heisu Research Group Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1990

Medicare patients

86 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $21,214,340 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $16,900,524 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

3,195 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$67,390 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

36 years (graduated 1990)

CMS Doctors and Clinicians data list 1990 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Roberto Nicodemo has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Roberto Nicodemo as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Kissimmee and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Kissimmee, FL (2024, 32 clinicians with data). Median for this group: 115. Middle half: 43 to 312.

More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,399 clinicians with data). Median for this group: 251. Middle half: 82 to 807.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Kissimmee, FL (2024, 32 clinicians with data). Median for this group: $12,590. Middle half: $4,204 to $20,268.

A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,399 clinicians with data). Median for this group: $19,903. Middle half: $7,333 to $51,623.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Kissimmee, FL (2024, 32 clinicians with data). Median for this group: $8,918. Middle half: $3,108 to $14,230.

A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,399 clinicians with data). Median for this group: $14,725. Middle half: $5,399 to $38,056.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Roberto Nicodemo are from 2023.

83 active clinicians are listed under Physician Assistant with a practice address in Kissimmee, FL (10,541 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kissimmee

14.5% of these 83 clinicians have the CMS telehealth indicator.

45.8% of these 83 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2022–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
Q4331 Axolotl graft, per square centimeter
12,800 35 $1704.30 $1646.97
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less
423 35 $154.02 $140.28
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
400 35 $154.13 $67.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
145 30 $154.80 $113.82
99492 Initial psychiatric collaborative care management, first calendar month, first 70 minutes
54 26 $173.07 $134.69
90838 Psychotherapy with evaluation and management visit, 1 hour
52 26 $142.28 $105.65
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
45 31 $135.80 $81.15
90792 Psychiatric diagnostic evaluation with medical services
33 18 $230.66 $170.08
90839 Psychotherapy for crisis, first hour
27 26 $164.62 $127.10
99344 Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes
25 25 $222.00 $125.35
99473 Education and training to self measure blood pressure
16 16 $14.99 $12.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
14 14 $166.89 $110.63

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D · Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Trazodone Hcl Trazodone Hcl 667 20,970 $12,451.39 219
Sertraline Hcl Sertraline Hcl 597 19,261 $3,177.28 186
Bupropion Hcl Bupropion Hcl 266 8,295 $3,667.88 147
Mirtazapine Mirtazapine 246 7,560 $4,495.85 80
Bupropion Hcl Sr Bupropion Hcl 146 4,497 $1,379.94 78
Quetiapine Fumarate Quetiapine Fumarate 134 4,125 $1,024.68 44
Escitalopram Oxalate Escitalopram Oxalate 127 4,170 $803.29 41
Olanzapine Olanzapine 105 3,390 $4,718.61 39
Memantine Hcl Memantine Hcl 96 2,970 $829.82 40
Clonazepam Clonazepam 85 1,943 $332.30 29
Paroxetine Hcl Paroxetine Hcl 69 2,070 $399.85 28
Alprazolam Alprazolam 64 1,538 $187.84 26
Paroxetine Er Paroxetine Hcl 46 1,380 $2,393.10 20
Donepezil Hcl Donepezil Hcl 40 1,290 $687.08 14
Bupropion Xl Bupropion Hcl 39 1,170 $512.19 19
Duloxetine Hcl Duloxetine Hcl 35 1,050 $992.14 16
Memantine Hcl Er Memantine Hcl 31 990 $4,507.16 13
Namzaric Memantine Hcl/Donepezil Hcl 30 900 $17,252.81 14
Chlordiazepoxide Hcl Chlordiazepoxide Hcl 27 593 $140.41 —
Amitriptyline Hcl Amitriptyline Hcl 25 750 $646.32 —
Tadalafil Tadalafil 24 936 $919.53 —
Gabapentin Gabapentin 18 540 $80.41 —
Paroxetine Cr Paroxetine Hcl 17 510 $942.59 —
Temazepam Temazepam 16 440 $769.64 —
Quetiapine Fumarate Er Quetiapine Fumarate 15 450 $1,624.48 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-02-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9101023

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier License Number
PA9101023 (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20170502000524

Enrollment State Jurisdiction

FL

PECOS Control ID

1557648425

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Heisu Research Group Llc

152 Nw 168th St, North Miami Beach, FL 331695510

Phone: 3057053475

Heisu Research Group Llc

Nw 168th St, North Miami Beach, FL 331695510

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Diego Clavell Rivera

General Practice

NPI 1265672778
NPI 1952567216

Doctor of Medicine (M.D.)

Mariel Pinero

General Practice

NPI 1891795654
NPI 1417555970

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location February 09, 2024

Registered at 1044 PLAZA DR, KISSIMMEE, FL 347434064 (Tel: 4073505659)

📍
Updated Business Mailing Address February 09, 2024

Registered at 6675 WESTWOOD BLVD STE 475, ORLANDO, FL 328216027 (Tel: 4078450330)

👤
Provider Name / Credentials Updated February 09, 2024

Recorded as ROBERTO NICODEMO, PA

âś…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 08, 2007

Registered at 6461 SW 8TH ST, WEST MIAMI, FL 331444843 (Tel: 3052695141)

📍
Business Mailing Address (Initial Record) July 08, 2007

Registered at 2051 RENAISSANCE BLVD APT 206, MIRAMAR, FL 330255680

👤
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as ROBERTO NICODEMO, D.M., M.P.H., P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (license number reported to NPPES: FL PA9101023)

🟢
Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1831112416
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: October 25, 2026
Sole Proprietor: Yes

Other Physician Assistants in Kissimmee

All Physician Assistants in Kissimmee

Mailing Address

6675 Westwood Blvd Ste 475

Orlando, FL 328216027

Phone: 4078450330

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.