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EDWIN BENEDICT FLANAGAN D.O.
NPI 1043239866
Internal Medicine - Gastroenterology in Port St Lucie, FL

Active since July 19, 2006PECOS Enrolled
89.89/100
CMS Quality Rating
1651 SE TIFFANY AVE, PORT ST LUCIE, FL 34952(772) 398-1800(772) 398-1815 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edwin Benedict Flanagan D.o. NPPES

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

EDWIN BENEDICT FLANAGAN D.O. (NPI 1043239866) is an individual gastroenterology provider in Port St Lucie, Florida, licensed in Florida (OS6311) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043239866
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameEDWIN BENEDICT FLANAGANCredential: D.O.
Location Address1651 SE TIFFANY AVEPort St Lucie, FL 34952-7564
Mailing AddressPo Box 417Stuart, FL 34995-0417 · (772) 223-5665 · Fax (772) 223-5646
Phone(772) 398-1800
Fax(772) 398-1815
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateApril 6, 2022
NPPES CertifiedApril 6, 2022
✔ NPI 1043239866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · OS6311
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.
1651 SE TIFFANY AVE, Port St Lucie, FL 34952
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Other Identifiers 1

Medicaid370979500FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edwin Benedict Flanagan D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Edwin Flanagan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Hospital Medical Group Inc
108 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34952 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims341 services$2.78 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims8,096 services$0.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

CELSO E PINEIRO M.D.
Internal Medicine (Gastroenterology)
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1800
ISABEL TERESA CASARIEGO CRUZ M.D
Family Medicine
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1800
DR. LISA AKIYE YAMAMOTO D.O.
Family Medicine
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1800
WOJCIECH MAREK ROCZNIAK MD
Family Medicine
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1800
STEVEN M KAPPLER M.D.
Internal Medicine (Gastroenterology)
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1800
MARIA DEFATIMA POZUELO MD
Internal Medicine (Pulmonary Disease)
1651 SE TIFFANY AVE
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 223-4978
BRIAN D RIDGELY PA
Physician Assistant
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1800
JOSE ROBERTO CASTANEDA MD
Internal Medicine (Critical Care Medicine)
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1800

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 Edwin Flanagan's NPI number?

The NPI number for Edwin Flanagan is 1043239866. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Edwin Flanagan located?

Edwin Flanagan practices at 1651 SE Tiffany Ave, Port St Lucie, FL 34952. The listed phone number is (772) 398-1800.

What is Edwin Flanagan's specialty?

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

Is Edwin Flanagan enrolled in Medicare?

Yes. Edwin Flanagan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edwin Flanagan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Flanagan reassigns Medicare benefits to Florida Hospital Medical Group Inc (Orlando, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edwin Flanagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edwin Flanagan was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.