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

Q: 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.

Q: What is Ese Efemini's specialty?

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

Q: 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.

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: August 16, 2026.

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

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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 and is a graduate of Other (2006).

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

Phone(813) 286-0033

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

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Other Identifiers 3

Medicaid1255406120FL

OtherEFEMIESEWI · Mercycare Insurance

Medicaid1255406120WI

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

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.

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.

KHIRSTIN MICHELLE MCAFEE D.O.

Obstetrics & Gynecology