DR. ACHILLES KALNOKY M.D.
NPI 1245460690
Family Medicine in Sarasota, FL

Q: What is Achilles Kalnoky's NPI number?

The NPI number for Achilles Kalnoky is 1245460690. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Q: What is Achilles Kalnoky'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 Achilles Kalnoky was last updated on March 25, 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.

Active since July 20, 2009PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2120284 · Waiver

85.38/100

CMS Quality Rating

7250 BENEVA RD, SARASOTA, FL 34238(941) 921-0986(941) 921-0989 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2021, Jun 7, 2021, Oct 14, 2016 (3 updates tracked since 2016).

On this page

About Dr. Achilles Kalnoky M.d. NPPES

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

DR. ACHILLES KALNOKY M.D. (NPI 1245460690) is an individual family medicine provider in Sarasota, Florida, licensed in Florida (ME115088) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 23, 2027, and is affiliated with Sarasota Memorial Hospital.

NPPES Registry Identity

NPI1245460690

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ACHILLES KALNOKYCredential: M.D.

Location Address7250 BENEVA RDSarasota, FL 34238-2806

Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (941) 921-0986

Phone(941) 921-0986

Fax(941) 921-0989

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 20, 2009

Last NPPES UpdateMarch 25, 20223 updates tracked since enumeration

NPPES CertifiedMarch 25, 2022

✔ NPI 1245460690 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 · ME115088

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.

7250 BENEVA RD, Sarasota, FL 34238

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Other Identifiers 2

OtherPENDINGFL · Medicare

Medicaid109053800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare 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

Dr. Achilles Kalnoky 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 ID4981859402

PECOS Enrollment IDI20130306000214

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 Reassignments

Medicare enrollment records show Achilles Kalnoky reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Global Physician Network LLC Series II

1.8 mi

Emergency Medicine

6331 S TAMIAMI TRL
Sarasota, FL 34231

Reassigned Medicare billing, Florida enrollment
107 clinicians in this Medicare group

NPI 1821518028 (941) 917-5678

Family Care Medical Center II LLC

40 mi

Family Medicine

819 N MILLS AVE
Arcadia, FL 34266

Reassigned Medicare billing, Florida enrollment

NPI 1114514809 (863) 491-2277

Privia Medical Group Florida, LLC

132 mi

General Practice

140 6TH AVE
Indialantic, FL 32903

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Health First Privia Medical Group
329 clinicians in this Medicare group

NPI 1700649043 (321) 312-3501

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2120284

Achilles Kalnoky, MD PA Dba Gulf Gate Family Medicine · Sarasota, FL

Active · expires Sep 23, 2027

CLIA Number10D2120284

Laboratory TypePhysician Office

Certificate Effective DateSeptember 24, 2025

Certificate Expiration DateSeptember 23, 2027

Laboratory DirectorAchilles Kalnoky

Laboratory Phone(941) 921-0986

Laboratory LocationAchilles Kalnoky, MD PA Dba Gulf Gate Family Medicine7250 Beneva Rd, Sarasota, FL 34238

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 17

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

1,372 services195 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.

827 services416 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.

420 services270 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.

318 services318 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

306 services306 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

87 services71 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

78 services78 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.

76 services66 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

35 services35 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

26 services26 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

25 services25 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

24 services24 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

23 services23 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

23 services23 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

17 services16 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

13 services13 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100087

Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County

Emergency services Birthing friendly

Hca Florida Sarasota Doctors Hospital

Acute Care Hospitals · Sarasota, FL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number100166

Location5731 Bee Ridge RdSarasota, FL 34233 · Sarasota County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34238 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.

85.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.65

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers17 claims42 services$6.72 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030