DR. RONALD S POWELL MD
NPI 1164405965
Internal Medicine - Gastroenterology in Pensacola, FL

Active since November 25, 2005PECOS EnrolledAccepts Medicare Assignment
68.08/100
CMS Quality Rating
8333 N DAVIS HWY, MEDICAL CENTER CLINIC GASTROENTEROLGY, PENSACOLA, FL 32514(850) 474-8428(850) 969-2906 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ronald S Powell Md NPPES

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

DR. RONALD S POWELL MD (NPI 1164405965) is an individual gastroenterology provider in Pensacola, Florida, licensed in Florida (ME0044804) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and is a graduate of Indiana University School Of Medicine (1983).

NPPES Registry Identity

NPI1164405965
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RONALD S POWELLCredential: MD
Location Address8333 N DAVIS HWY, MEDICAL CENTER CLINIC GASTROENTEROLGYPensacola, FL 32514-6050
Mailing Address8333 N Davis Hwy, Medical Center Clinic GastroenterolgyPensacola, FL 32514-6050 · (850) 474-8428 · Fax (850) 969-2906
Fax(850) 969-2906
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1983
Enumeration DateNovember 25, 2005
Last NPPES UpdateApril 19, 2012
NPI 1164405965 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 · ME0044804
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.
8333 N DAVIS HWY, Pensacola, FL 32514

Other Identifiers 1

Medicare UPIND51445

Accepted 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. Ronald S Powell 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 ID3779619671
PECOS Enrollment IDI20100330001063
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 12

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
357 services279 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.
169 services102 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.
148 services146 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
142 services142 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.
130 services130 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
113 services105 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100231
Location8383 N Davis HwyPensacola, FL 32514 · Escambia County
Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100266
Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32514 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.

68.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.77
Improvement Activities40
Cost38.03

Referred Medical Equipment & Supplies CMS DME claims 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier34 claims50 services$5.85 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix B4189
Other-Enteral and Parenteral · category OB005N
1 supplier35 claims240 services$140.02 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier36 claims247 services$6.42 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier36 claims247 services$19.77 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.

Psychiatry & Neurology (Neurology)
8333 N DAVIS HWY
PENSACOLA, FL 32514
Physician Assistant
8333 N DAVIS HWY
PENSACOLA, FL 32514
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
8333 N DAVIS HWY, MEDICAL CENTER CLINIC ENT DEPT
PENSACOLA, FL 32514
Audiologist
8333 N DAVIS HWY
PENSACOLA, FL 32514
Nurse Practitioner (Family)
8333 N DAVIS HWY
PENSACOLA, FL 32514
Dermatology
8333 N DAVIS HWY, WEST FLORIDA MEDICAL CENTER CLINIC PA
PENSACOLA, FL 32514
Psychiatry & Neurology (Neurology)
8333 N DAVIS HWY, WEST FLORIDA MEDICAL CENTER CLINIC PA
PENSACOLA, FL 32514
Internal Medicine (Gastroenterology)
8333 N DAVIS HWY
PENSACOLA, FL 32514

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 Ronald Powell's NPI number?

The NPI number for Ronald Powell is 1164405965. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Ronald Powell located?

Ronald Powell practices at 8333 N Davis Hwy Medical Center Clinic Gastroenterolgy, Pensacola, FL 32514. The listed phone number is (850) 474-8428.

What is Ronald Powell's specialty?

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

Is Ronald Powell enrolled in Medicare?

Yes. Ronald Powell 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 Ronald Powell accept?

Health plans from Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Ronald Powell 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 Ronald Powell affiliated with any hospitals?

According to CMS data, Ronald Powell is affiliated with Baptist Hospital, Hca Florida West Hospital and Gulf Breeze Hospital.

When was this NPI record last updated?

The NPPES record for Ronald Powell was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.