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

ELSAYED MAHMOUD ELSAYED ELBASIONY MD
NPI 1245935535
Ophthalmology in Gainesville, FL

Active since April 04, 2023PECOS EnrolledAccepts Medicare Assignment
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 265-0301 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2026, Jun 30, 2025, Sep 29, 2024 and 1 more (4 updates tracked since 2023).

About Elsayed Mahmoud Elsayed Elbasiony Md NPPES

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

ELSAYED MAHMOUD ELSAYED ELBASIONY MD (NPI 1245935535) is an individual ophthalmology provider in Gainesville, Florida, licensed in Florida (ME183846) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gainesville, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1245935535
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameELSAYED MAHMOUD ELSAYED ELBASIONYCredential: MD
Location Address1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing AddressPo Box 100284Gainesville, FL 32610-0284 · (352) 273-8778
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 4, 2023
Last NPPES UpdateOctober 14, 20264 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1245935535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME183846
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1600 SW ARCHER RD, Gainesville, FL 32610

Secondary Practice Location 1

Location 16201 W Newberry RdGainesville, FL 32605-4324 · Phone (352) 265-9465

Accepted 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

Elsayed Mahmoud Elsayed Elbasiony 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 ID42655102
PECOS Enrollment IDI20250708000695
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

2

Medicare enrollment records show Elsayed Elbasiony reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group

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 32610 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610

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 Elsayed Elbasiony's NPI number?

The NPI number for Elsayed Elbasiony is 1245935535. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Elsayed Elbasiony located?

Elsayed Elbasiony practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 265-0301.

What is Elsayed Elbasiony's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Elsayed Elbasiony enrolled in Medicare?

Yes. Elsayed Elbasiony 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.

Which organizations bill Medicare for Elsayed Elbasiony's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elsayed Elbasiony reassigns Medicare benefits to 2 organizations: Florida Clinical Practice Association Inc (Gainesville, FL) and Iu Health Medical Group, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elsayed Elbasiony's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elsayed Elbasiony accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of NC and 3 other insurers list Elsayed Elbasiony 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.

When was this NPI record last updated?

The NPPES record for Elsayed Elbasiony was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.