ESE PAUL EFEMINI MD
NPI 1255406120
Obstetrics & Gynecology in Tampa, FL

Active since November 23, 2006PECOS EnrolledAccepts Medicare Assignment
5002 W LEMON ST, TAMPA, FL 33609(813) 286-0033(813) 282-1806 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 11, 2023, Jan 18, 2023, Jan 4, 2021 and 1 more (4 updates tracked since 2020).

About Ese Paul Efemini Md NPPES

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

ESE PAUL EFEMINI MD (NPI 1255406120) is an individual obstetrics & gynecology provider in Tampa, Florida, licensed in Florida (ME 124122) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255406120
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameESE PAUL EFEMINICredential: MD
Location Address5002 W LEMON STTampa, FL 33609-1104
Mailing AddressPo Box 25317Tampa, FL 33622-5317 · (813) 286-0033 · Fax (813) 282-1806
Fax(813) 282-1806
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 23, 2006
Last NPPES UpdateJuly 11, 20234 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1255406120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME 124122✔ Licensed in GA · 064781✔ Licensed in WI · 51351-20
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5002 W LEMON ST, Tampa, FL 33609

Secondary Practice Locations 2

Location 111175 County Line RdSpring Hill, FL 34609-5615 · Phone (352) 666-3579 · Fax (352) 666-3575
Location 22 Tampa General CirTampa, FL 33606-3571 · Phone (813) 821-8038 · Fax (813) 974-4325

Other Identifiers 3

Medicaid1255406120FL
OtherEFEMIESEWI · Mercycare Insurance
Medicaid1255406120WI

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

Ese Paul Efemini 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 ID547441255
PECOS Enrollment IDI20151112002632
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

6

Medicare enrollment records show Ese Efemini reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Womens Care Florida LLC
  • 679 clinicians in this Medicare group
Obstetrics & Gynecology
4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 619 clinicians in this Medicare group
Pediatrics
17 DAVIS BLVD, 1ST FLOOR
Tampa, FL 33606
  • Reassigned Medicare billing, Florida enrollment
  • 1,079 clinicians in this Medicare group
Obstetrics & Gynecology
701 6TH ST S
St Petersburg, FL 33701
  • Reassigned Medicare billing, Florida enrollment
  • 683 clinicians in this Medicare group
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
Obstetrics & Gynecology
901 45TH ST
Mangonia Park, FL 33407
  • Reassigned Medicare billing, Florida enrollment
  • 237 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.

Hospital Affiliations CMS Care Compare

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

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33609 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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
78%372 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
90%1,259 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
14%410 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,776 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
34%1,647 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,117 patients
Patients tobacco: 5% · 124 patients
83%1,117 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Obstetrics & Gynecology
5002 W LEMON ST
TAMPA, FL 33609
Obstetrics & Gynecology
5002 W LEMON ST
TAMPA, FL 33609
Obstetrics & Gynecology
5002 W LEMON ST
TAMPA, FL 33609
Preventive Medicine (Undersea and Hyperbaric Medicine)
5002 W LEMON ST
TAMPA, FL 33609
Advanced Practice Midwife
5002 W LEMON ST
TAMPA, FL 33609
Obstetrics & Gynecology
5002 W LEMON ST
TAMPA, FL 33609
Advanced Practice Midwife
5002 W LEMON ST
TAMPA, FL 33609
Obstetrics & Gynecology
5002 W LEMON ST
TAMPA, FL 33609

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 Ese Efemini's NPI number?

The NPI number for Ese Efemini is 1255406120. It was assigned to this individual provider in the NPPES registry on November 23, 2006.

Where is Ese Efemini located?

Ese Efemini practices at 5002 W Lemon St, Tampa, FL 33609. The listed phone number is (813) 286-0033.

What is Ese Efemini's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ese Efemini enrolled in Medicare?

Yes. Ese Efemini 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 Ese Efemini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ese Efemini reassigns Medicare benefits to 6 organizations: Women's Care Florida LLC (Tampa, FL), Womens' Health Hospitalists, LLC (Tampa, FL), University Medical Service Association Inc (Tampa, FL), Ob Hospitalist Group LLC (St Petersburg, FL), Florida Hospital Medical Group Inc (Orlando, FL) and 1 more organization, listed in the Medicare section above. 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 Ese Efemini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ese Efemini accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health and Oscar Health Maintenance Organization of Florida and 1 other insurer list Ese Efemini 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 Ese Efemini affiliated with any hospitals?

According to CMS data, Ese Efemini is affiliated with Tampa General Hospital.

When was this NPI record last updated?

The NPPES record for Ese Efemini was last updated on July 11, 2023. 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.