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DR. AMMAR HEMAIDAN MD
NPI 1033149752
Internal Medicine - Gastroenterology in Port Orange, FL

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
82.91/100
CMS Quality Rating
1690 DUNLAWTON AVE STE 120, PORT ORANGE, FL 32127(386) 271-2273(386) 271-2274 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2020, Feb 1, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Ammar Hemaidan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMMAR HEMAIDAN MD (NPI 1033149752) is an individual gastroenterology provider in Port Orange, Florida, licensed in Florida (ME78370) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1033149752
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. AMMAR HEMAIDANCredential: MD
Location Address1690 DUNLAWTON AVE STE 120Port Orange, FL 32127-8980
Mailing Address1690 Dunlawton Ave, Ste 120Port Orange, FL 32127-8980 · (386) 481-6674
Phone(386) 271-2273
Fax(386) 271-2274
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 10, 20204 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
✔ NPI 1033149752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME78370
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedHospitalistTaxonomy 208M00000X · License ME78370 (FL)
1690 DUNLAWTON AVE STE 120, Port Orange, FL 32127
Open in Google Maps ↗

Other Identifiers 1

Medicaid260588101FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ammar Hemaidan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709771470
PECOS Enrollment IDI20070808000406
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
80 services58 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
57 services57 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
45 services45 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
39 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services18 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Parrish Medical Center

Acute Care Hospitals · Titusville, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100028
Location951 N Washington AveTitusville, FL 32796 · Brevard County
Emergency services Birthing friendly

Halifax Health /Uf Health Medical Center Of Delton

Acute Care Hospitals · Deltona, FL
OwnershipGovernment - Local
CMS Certification Number100330
Location3300 Halifax Crossings BlvdDeltona, FL 32725 · Volusia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.08
Promoting Interoperability96
Improvement Activities40
Cost72.3

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%242 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%26 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOWN CENTER MEDICAL SERVICES, LLC
Family Medicine
1690 DUNLAWTON AVE STE 120
PORT ORANGE, FL 32127
Volusia County (386) 271-2273
DR. KERRY DIANE THEK M.D.
Pediatrics (Pediatric Gastroenterology)
1690 DUNLAWTON AVE STE 120
PORT ORANGE, FL 32127
Volusia County (386) 677-0531
MS. JEANNETTE R DERITA ARNP
Nurse Practitioner (Family)
1690 DUNLAWTON AVE STE 120
PORT ORANGE, FL 32127
Volusia County (386) 449-9650
IMACS, LLC
Internal Medicine (Gastroenterology)
1690 DUNLAWTON AVE STE 120
PORT ORANGE, FL 32127
Volusia County (386) 271-2273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ammar Hemaidan's NPI number?

The NPI number for Ammar Hemaidan is 1033149752. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Ammar Hemaidan located?

Ammar Hemaidan practices at 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127. The listed phone number is (386) 271-2273.

What is Ammar Hemaidan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ammar Hemaidan enrolled in Medicare?

Yes. Ammar Hemaidan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ammar Hemaidan accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Oscar Health Maintenance Organization of Florida and Wellpoint list Ammar Hemaidan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ammar Hemaidan affiliated with any hospitals?

According to CMS data, Ammar Hemaidan is affiliated with Halifax Health Medical Center, Parrish Medical Center and Halifax Health /Uf Health Medical Center Of Delton.

When was this NPI record last updated?

The NPPES record for Ammar Hemaidan was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.