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

DR. EDWARD ORSHANSKY M.D.
NPI 1285054460
Family Medicine in Jacksonville, FL

Active since April 25, 2014PECOS EnrolledAccepts Medicare Assignment
12412 SAN JOSE BLVD STE 404, JACKSONVILLE, FL 32223(904) 464-1044(904) 734-6281 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2026, Sep 23, 2024, Sep 17, 2024 and 3 more (6 updates tracked since 2018).

About Dr. Edward Orshansky M.d. NPPES

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

DR. EDWARD ORSHANSKY M.D. (NPI 1285054460) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME130874) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and maintains a secondary practice location in Lake Butler.

NPPES Registry Identity

NPI1285054460
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDWARD ORSHANSKYCredential: M.D.
Location Address12412 SAN JOSE BLVD STE 404Jacksonville, FL 32223-8620
Mailing Address12412 San Jose Blvd Ste 404Jacksonville, FL 32223-8620 · (904) 464-1044 · Fax (904) 734-6281
Phone(904) 464-1044
Fax(904) 734-6281
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 25, 2014
Last NPPES UpdateSeptember 10, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1285054460 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 · ME130874
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.
12412 SAN JOSE BLVD STE 404, Jacksonville, FL 32223
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Secondary Practice Location 1

Location 1575 SE 3rd AveLake Butler, FL 32054-2647 · Phone (386) 496-1922 · Fax (386) 496-2803

Other Identifiers 1

Medicaid128705300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed 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. Edward Orshansky 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 ID8820218548
PECOS Enrollment IDI20171120003394
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

11

Medicare enrollment records show Edward Orshansky reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edward Orshansky MD Inc
0.1 mi
Family Medicine
12412 SAN JOSE BLVD STE 404
Jacksonville, FL 32223
  • Reassigned Medicare billing, Florida enrollment
NPI 1497517155 (904) 464-1044
St Vincent's Full Service Urgent Care, LLC
3.1 mi
Occupational Medicine
10503 SAN JOSE BLVD
Jacksonville, FL 32257
  • Reassigned Medicare billing, Florida enrollment
  • 78 clinicians in this Medicare group
NPI 1750672051 (904) 379-1203
Guardian Physician Group LLC
3.2 mi
Hospitalist
716 E DORCHESTER DR
Saint Johns, FL 32259
  • Reassigned Medicare billing, Florida enrollment
NPI 1700740149 (904) 646-8788
Inpatient Consultants Of Florida, Inc
6.4 mi
Internal Medicine
2001 KINGSLEY AVE
Orange Park, FL 32073
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1396795597 (954) 377-2909
Hni Medical Services Of Florida, LLC
13 mi
Internal Medicine
1 SHIRCLIFF WAY
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 492 clinicians in this Medicare group
NPI 1679048284 (512) 730-3060
St Vincents Ambulatory Care Inc
13 mi
Neurological Surgery
2 SHIRCLIFF WAY, SUITE 600
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: St Vincent's Ambulatory Care Inc
  • 544 clinicians in this Medicare group
NPI 1417987124 (904) 308-6769
Medlink Management Services Inc
42 mi
Critical Access
850 E MAIN ST
Lake Butler, FL 32054
  • Reassigned Medicare billing, Florida enrollment
  • 37 clinicians in this Medicare group
NPI 1013972272 (386) 496-2323
Sound Physicians Of Florida IV, LLC
53 mi
Internal Medicine
60 MEMORIAL MEDICAL PKWY
Palm Coast, FL 32164
  • Reassigned Medicare billing, Florida enrollment
  • 300 clinicians in this Medicare group
NPI 1740633635 (615) 377-5658
Volusia Hospitalists Plc
70 mi
Internal Medicine
301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 16 clinicians in this Medicare group
NPI 1104864727 (386) 676-0255
Akshaya Balaji LLC
71 mi
Specialist
1900 N ATLANTIC AVE UNIT 1602
Daytona Beach, FL 32118
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1891817029 (407) 285-5956

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

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
196 services54 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
43 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services30 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Lake Butler Hospital

Critical Access Hospitals · Lake Butler, FL
OwnershipProprietary
CMS Certification Number101303
Location850 E Main StLake Butler, FL 32054 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32223 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
85%256 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%393 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%409 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
64%544 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
75%544 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
18%544 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
27%544 patients
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD ORSHANSKY MD INC
Family Medicine
12412 SAN JOSE BLVD STE 404
JACKSONVILLE, FL 32223
Duval County (904) 464-1044

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 Edward Orshansky's NPI number?

The NPI number for Edward Orshansky is 1285054460. It was assigned to this individual provider in the NPPES registry on April 25, 2014.

Where is Edward Orshansky located?

Edward Orshansky practices at 12412 San Jose Blvd Ste 404, Jacksonville, FL 32223. The listed phone number is (904) 464-1044.

What is Edward Orshansky's specialty?

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

Is Edward Orshansky enrolled in Medicare?

Yes. Edward Orshansky 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 Edward Orshansky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Orshansky reassigns Medicare benefits to 11 organizations: Edward Orshansky MD Inc (Jacksonville, FL), St Vincent's Full Service Urgent Care, LLC (Jacksonville, FL), Guardian Physician Group LLC (Saint Johns, FL), Inpatient Consultants Of Florida, Inc (Orange Park, FL), Hni Medical Services Of Florida, LLC (Jacksonville, FL) and 6 more organizations, 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 Edward Orshansky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Orshansky accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Edward Orshansky 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 Edward Orshansky affiliated with any hospitals?

According to CMS data, Edward Orshansky is affiliated with Adventhealth Daytona Beach, Florida Hospital Flagler, Adventhealth Palm Coast Parkway and Lake Butler Hospital.

When was this NPI record last updated?

The NPPES record for Edward Orshansky was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.