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DR. YESENIA MEDINA D.O.
NPI 1043462211
Family Medicine in Boynton Beach, FL

Active since October 19, 2008PECOS EnrolledAccepts Medicare Assignment
87.41/100
CMS Quality Rating
10151 ENTERPRISE CTR STE 205, BOYNTON BEACH, FL 33437(561) 433-5577(561) 275-2696 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2025, Sep 15, 2025 (2 updates tracked since 2025).

About Dr. Yesenia Medina D.o. NPPES

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

DR. YESENIA MEDINA D.O. (NPI 1043462211) is an individual family medicine provider in Boynton Beach, Florida, licensed in Florida (OS10520) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1043462211
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. YESENIA MEDINACredential: D.O.
Location Address10151 ENTERPRISE CTR STE 205Boynton Beach, FL 33437-3761
Mailing Address2326 S Congress Ave Ste 1aWest Palm Beach, FL 33406-7652 · (561) 433-5577 · Fax (561) 275-2696
Phone(561) 433-5577
Fax(561) 275-2696
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 19, 2008
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1043462211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS10520
Definition
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.
10151 ENTERPRISE CTR STE 205, Boynton Beach, FL 33437
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Yesenia Medina D.o. 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 ID9830326123
PECOS Enrollment IDI20131211001825
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 Reassignments

5

Medicare enrollment records show Yesenia Medina reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

La Medical Associates, LLC
9.4 mi
Internal Medicine
2326 S CONGRESS AVE, 1-A
West Palm Beach, FL 33406
  • Reassigned Medicare billing, Florida enrollment
  • 22 clinicians in this Medicare group
NPI 1881804094 (561) 433-5577
Prestige Clinicians LLC
24 mi
Primary Care
4513 NW 31ST AVE STE 1
Oakland Park, FL 33309
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1497213755 (954) 496-2599
Yesenia Medina Do PA
67 mi
Family Medicine
11373 SW 211TH ST
Miami, FL 33189
  • Reassigned Medicare billing, Florida enrollment
NPI 1073818761 (305) 234-0009
Agapemd, LLC
108 mi
Health Service
90130 OLD HWY
Tavernier, FL 33070
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1639561186 (305) 852-9300
Hernando Pasco Primary Care LLC
185 mi
Internal Medicine
1785 NORTHPOINTE PKWY STE 300
Lutz, FL 33558
  • Reassigned Medicare billing, Florida enrollment
  • 102 clinicians in this Medicare group
NPI 1245273093 (855) 536-7277

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

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33437 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
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.

87.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost60.03

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 Yesenia Medina's NPI number?

The NPI number for Yesenia Medina is 1043462211. It was assigned to this individual provider in the NPPES registry on October 19, 2008.

Where is Yesenia Medina located?

Yesenia Medina practices at 10151 Enterprise Ctr Ste 205, Boynton Beach, FL 33437. The listed phone number is (561) 433-5577.

What is Yesenia Medina's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Yesenia Medina enrolled in Medicare?

Yes. Yesenia Medina 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.

Which organizations bill Medicare for Yesenia Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yesenia Medina reassigns Medicare benefits to 5 organizations: La Medical Associates, LLC (West Palm Beach, FL), Prestige Clinicians LLC (Oakland Park, FL), Yesenia Medina Do PA (Miami, FL), Agapemd, LLC (Tavernier, FL) and Hernando Pasco Primary Care LLC (Lutz, FL). Each 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 Yesenia Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yesenia Medina accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 5 other insurers list Yesenia Medina 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.

When was this NPI record last updated?

The NPPES record for Yesenia Medina was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.