SAMUEL L WELDON DO
NPI 1184312233
Family Medicine in Fort Myers, FL

Q: What is Samuel Weldon's NPI number?

The NPI number for Samuel Weldon is 1184312233. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Q: What is Samuel Weldon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Weldon was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 26, 2023PECOS EnrolledAccepts Medicare Assignment

2780 CLEVELAND AVE STE 709, FORT MYERS, FL 33901(239) 343-3831 Get Directions Write a Review

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

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About Samuel L Weldon Do NPPES

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

SAMUEL L WELDON DO (NPI 1184312233) is an individual family medicine provider in Fort Myers, Florida, licensed in Georgia (111584) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2023).

NPPES Registry Identity

NPI1184312233

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSAMUEL L WELDONCredential: DO

Location Address2780 CLEVELAND AVE STE 709Fort Myers, FL 33901-5857

Mailing Address2780 Cleveland Ave Ste 709Fort Myers, FL 33901-5857 · (239) 343-3831

Phone(239) 343-3831

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2023

Enumeration DateApril 26, 2023

Last NPPES UpdateJune 16, 2026

NPPES CertifiedJune 16, 2026

✔ NPI 1184312233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in GA · 111584✔ Licensed in FL · OS21713

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2780 CLEVELAND AVE STE 709, Fort Myers, FL 33901

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Other Identifiers 1

Medicaid126292200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Samuel L Weldon 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 ID7315461720

PECOS Enrollment IDI20250408000018

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.

Hospital Affiliations CMS Care Compare 2

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100244

Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33901 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.

MANUELLA CONSTANTINO SIDEROPOULOS DO

Family Medicine