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CHARLENE EDMEE D'ACOSTA MD
NPI 1306802905
General Practice in Port Richey, FL

Active since April 22, 2006PECOS EnrolledAccepts Medicare Assignment
10085 US HIGHWAY 19 STE GTE, PORT RICHEY, FL 34668(727) 810-8062(727) 810-8064 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 22, 2023, Mar 3, 2023, Nov 22, 2022 and 6 more (9 updates tracked since 2016).

About Charlene Edmee D'acosta Md NPPES

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

CHARLENE EDMEE D'ACOSTA MD (NPI 1306802905) is an individual general practice provider in Port Richey, Florida, licensed in Florida (ACN813) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1306802905
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameCHARLENE EDMEE D'ACOSTACredential: MD
Location Address10085 US HIGHWAY 19 STE GTEPort Richey, FL 34668-3742
Mailing Address601 S Harbour Island Blvd Ste 200Tampa, FL 33602-5925 · (727) 322-3439 · Fax (800) 928-7449
Phone(727) 810-8062
Fax(727) 810-8064
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 22, 2006
Last NPPES UpdateJuly 16, 20259 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1306802905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN813
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
10085 US HIGHWAY 19 STE GTE, Port Richey, FL 34668
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.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

Charlene Edmee D'acosta 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 ID6002828076
PECOS Enrollment IDI20160718001032
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 Charlene D'acosta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Verimed Health Group Clearwater, LLC
20 mi
Family Medicine
2515 COUNTRYSIDE BLVD STE H
Clearwater, FL 33763
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1265988752 (727) 796-8600
Florida Medical Associates LLC
64 mi
Primary Care
13940 N US HIGHWAY 441 STE 102
Lady Lake, FL 32159
  • Reassigned Medicare billing, Florida enrollment
  • 177 clinicians in this Medicare group
NPI 1336153709 (352) 751-9900

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 3

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.

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.
20 services15 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services14 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.
16 services15 patients

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 Charlene D'acosta's NPI number?

The NPI number for Charlene D'acosta is 1306802905. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Charlene D'acosta located?

Charlene D'acosta practices at 10085 Us Highway 19 Ste Gte, Port Richey, FL 34668. The listed phone number is (727) 810-8062.

What is Charlene D'acosta's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Charlene D'acosta enrolled in Medicare?

Yes. Charlene D'acosta 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 Charlene D'acosta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlene D'acosta reassigns Medicare benefits to 2 organizations: Verimed Health Group Clearwater, LLC (Clearwater, FL) and Florida Medical Associates LLC (Lady Lake, FL). 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 Charlene D'acosta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charlene D'acosta accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Charlene D'acosta 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 Charlene D'acosta was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.