Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MANUELLA CONSTANTINO SIDEROPOULOS DO
NPI 1093418238
Family Medicine in Fort Myers, FL

Q: What is Manuella Constantino Sideropoulos's NPI number?

The NPI number for Manuella Constantino Sideropoulos is 1093418238. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Manuella Constantino Sideropoulos's specialty?

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

Active since March 27, 2023PECOS EnrolledAccepts Medicare Assignment

13782 PLANTATION RD STE 201, FORT MYERS, FL 33912(239) 343-1100(239) 468-7916 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2026, Sep 30, 2026, May 8, 2025 and 2 more (5 updates tracked since 2023).

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About Manuella Constantino Sideropoulos Do NPPES

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

MANUELLA CONSTANTINO SIDEROPOULOS DO (NPI 1093418238) is an individual family medicine provider in Fort Myers, Florida, licensed in Florida (OS22017) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093418238

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMANUELLA CONSTANTINO SIDEROPOULOSCredential: DO

Location Address13782 PLANTATION RD STE 201Fort Myers, FL 33912-4462

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-3831 · Fax (239) 343-2301

Phone(239) 343-1100

Fax(239) 468-7916

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 27, 2023

Last NPPES UpdateOctober 7, 20265 updates tracked since enumeration

NPPES CertifiedOctober 7, 2026

✔ NPI 1093418238 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 · OS22017

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.

13782 PLANTATION RD STE 201, Fort Myers, FL 33912

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Secondary Practice Locations 2

Location 13833 Schoolhouse Rd E Apt 6Fort Myers, FL 33916-7723 · Phone (239) 340-4368

Location 22780 Cleveland Ave Ste 709Fort Myers, FL 33901-5857 · Phone (239) 343-3831 · Fax (239) 343-2301

Other Identifiers 1

Medicaid126282900FL

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

Manuella Constantino Sideropoulos Do 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 ID3476077355

PECOS Enrollment IDI20250413000018

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 Manuella Constantino Sideropoulos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lee Health System Inc

4.7 mi

Internal Medicine

9981 S HEALTHPARK DR
Fort Myers, FL 33908

Reassigned Medicare billing, Florida enrollment
1,899 clinicians in this Medicare group

NPI 1942058557 (239) 424-1500

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 33912 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.

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.

CHRISTINE LILLARD

Nurse Practitioner (Family)