SAMANTHA R KLEBOWSKI AGPNP
NPI 1073249017
Nurse Practitioner - Gerontology in Tampa, FL

Active since July 30, 2022PECOS EnrolledAccepts Medicare Assignment
89.43/100
CMS Quality Rating
12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-8000 Get Directions Write a Review

NPPES record last updated: July 30, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Samantha R Klebowski Agpnp NPPES

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

SAMANTHA R KLEBOWSKI AGPNP (NPI 1073249017) is an individual gerontology provider in Tampa, Florida, licensed in Florida (APRN11020997) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073249017
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSAMANTHA R KLEBOWSKICredential: AGPNP
Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416
Mailing Address2105 Diane AveValrico, FL 33594-4604 · (216) 215-1739 · Fax (813) 449-6715
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 30, 2022
NPPES CertifiedJuly 13, 2022
✔ NPI 1073249017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · APRN11020997
12902 USF MAGNOLIA DR, Tampa, FL 33612

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

Samantha R Klebowski Agpnp 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 ID9830575703
PECOS Enrollment IDI20220929001729
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 4

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.
303 services199 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
74 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services71 patients
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.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

89.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.84
Promoting Interoperability100
Improvement Activities40

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.

Surgery
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Radiology (Radiation Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Physician Assistant
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Obstetrics & Gynecology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Pathology (Anatomic Pathology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Anesthesiology
12902 USF MAGNOLIA DR
TAMPA, FL 33612

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 Samantha Klebowski's NPI number?

The NPI number for Samantha Klebowski is 1073249017. It was assigned to this individual provider in the NPPES registry on July 30, 2022.

Where is Samantha Klebowski located?

Samantha Klebowski practices at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (813) 745-8000.

What is Samantha Klebowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Samantha Klebowski enrolled in Medicare?

Yes. Samantha Klebowski 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.

When was this NPI record last updated?

The NPPES record for Samantha Klebowski was last updated on July 30, 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.