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DR. SERGIO B. SEOANE M.D.
NPI 1164560702
Family Medicine in Lakeland, FL

Active since February 04, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 10D0966710 · Waiver
118 ALLAMANDA DR, LAKELAND, FL 33803(863) 644-2204(863) 904-2510 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sergio B. Seoane M.d. NPPES

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

DR. SERGIO B. SEOANE M.D. (NPI 1164560702) is an individual family medicine provider in Lakeland, Florida, licensed in Florida (ME 78570) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 24, 2027, and is affiliated with Winter Haven Hospital.

NPPES Registry Identity

NPI1164560702
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SERGIO B. SEOANECredential: M.D.
Location Address118 ALLAMANDA DRLakeland, FL 33803-2926
Mailing AddressPo Box 2717Lakeland, FL 33806-2717 · (863) 370-0615 · Fax (863) 904-2510
Phone(863) 644-2204
Fax(863) 904-2510
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateFebruary 4, 2007
Last NPPES UpdateAugust 29, 2022
NPPES CertifiedAugust 29, 2022
✔ NPI 1164560702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME 78570
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME 78570 (FL)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME 78570 (FL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License ME 78570 (FL)
118 ALLAMANDA DR, Lakeland, FL 33803
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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. Sergio B. Seoane M.d. 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 ID2264402361
PECOS Enrollment IDI20040727001197
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0966710

Sergio B Seoane, MD, PA · Lakeland, FL
Active · expires Oct 24, 2027
CLIA Number10D0966710
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorSergio B. Seoane
Laboratory Phone(863) 644-2204
Laboratory LocationSergio B Seoane, MD, PA118 Allamanda Drive, Lakeland, FL 33803
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
198 services48 patients
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.
39 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 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.
32 services16 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33803 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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers48 claims48 services$2.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$65.87 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
7 suppliers15 claims2,742 services$0.02 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers21 claims21 services$21.15 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 2

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

SERGIO B. SEOANE, M.D.,P.A.
Family Medicine
118 ALLAMANDA DR
LAKELAND, FL 33803
Polk County (863) 644-2204
MRS. EMMA LOUISE MCMICKEN ARNP
Nurse Practitioner (Family)
118 ALLAMANDA DR
LAKELAND, FL 33803
Polk County (863) 644-2204

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 Sergio Seoane's NPI number?

The NPI number for Sergio Seoane is 1164560702. It was assigned to this individual provider in the NPPES registry on February 4, 2007.

Where is Sergio Seoane located?

Sergio Seoane practices at 118 Allamanda Dr, Lakeland, FL 33803. The listed phone number is (863) 644-2204.

What is Sergio Seoane's specialty?

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

Is Sergio Seoane enrolled in Medicare?

Yes. Sergio Seoane 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.

Does Sergio Seoane hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0966710) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sergio Seoane accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Sergio Seoane 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 Sergio Seoane affiliated with any hospitals?

According to CMS data, Sergio Seoane is affiliated with Winter Haven Hospital and St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Sergio Seoane was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.