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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.

LOUIS F INSALACO MD
NPI 1316280886
Otolaryngology - Otolaryngology/Facial Plastic Surgery in St Augustine, FL

Active since April 02, 2013PECOS EnrolledAccepts Medicare Assignment
3 SAN BARTOLA DR, ST AUGUSTINE, FL 32086(904) 823-8823(904) 808-1505 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2026, Oct 7, 2026, Jan 8, 2026 and 4 more (7 updates tracked since 2018).

About Louis F Insalaco Md NPPES

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

LOUIS F INSALACO MD (NPI 1316280886) is an individual otolaryngology/facial plastic surgery provider in St Augustine, Florida, licensed in Massachusetts (276414) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316280886
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameLOUIS F INSALACOCredential: MD
Location Address3 SAN BARTOLA DRSt Augustine, FL 32086-5767
Mailing Address15280 Nw 79th Ct Ste 200Miami Lakes, FL 33016-5873 · (305) 558-3724 · Fax (786) 907-4485
Phone(904) 823-8823
Fax(904) 808-1505
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2013
Enumeration DateApril 2, 2013
Last NPPES UpdateOctober 16, 20267 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1316280886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in MA · 276414
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
3 SAN BARTOLA DR, St Augustine, FL 32086
Open in Google Maps ↗

Secondary Practice Locations 2

Location 130 Tuscan BlvdSalem, NH 03079-3981 · Phone (781) 279-0971
Location 241 Montvale Ave Ste 200Stoneham, MA 02180-2445 · Phone (781) 279-0971

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Louis F Insalaco 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 ID2668604125
PECOS Enrollment IDI20190610000905
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 Louis Insalaco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Ent Associates, Inc.
290 mi
Otolaryngology
1350 SW 57TH AVE STE 210
West Miami, FL 33144
  • Reassigned Medicare billing, Florida enrollment
  • 158 clinicians in this Medicare group
NPI 1184625733 (305) 558-3724
Massachusetts Eye And Ear Associates, Inc.
1,033 mi
Ophthalmology
243 CHARLES ST
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 478 clinicians in this Medicare group
NPI 1932574332 (617) 523-7900

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 10

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 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.
224 services209 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
114 services105 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
98 services87 patients
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.
87 services77 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
45 services45 patients

Hospital Affiliations CMS Care Compare 3

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

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

Other Providers at the Same Location NPPES 5

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

KURT MUELLNER AUD
Audiologist
3 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-8823
MRS. ASHLEY BALDWIN VANJARIA ARNP
Nurse Practitioner (Family)
3 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-8823
ARTHUR CORTLAND TALIAFERRO MD
Otolaryngology
3 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-8823
ROBERT SEAN MILLER MD
Otolaryngology (Otology & Neurotology)
3 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-8823
N.F.L. CENTER FOR OTO-HNS FACIAL PLASTIC SURGERY P.A.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
3 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-8823

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 Louis Insalaco's NPI number?

The NPI number for Louis Insalaco is 1316280886. It was assigned to this individual provider in the NPPES registry on April 2, 2013.

Where is Louis Insalaco located?

Louis Insalaco practices at 3 San Bartola Dr, St Augustine, FL 32086. The listed phone number is (904) 823-8823.

What is Louis Insalaco's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Louis Insalaco enrolled in Medicare?

Yes. Louis Insalaco 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 Louis Insalaco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Louis Insalaco reassigns Medicare benefits to 2 organizations: Florida Ent Associates, Inc. (West Miami, FL) and Massachusetts Eye And Ear Associates, Inc. (Boston, MA). 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 Louis Insalaco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Louis Insalaco accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Wellpoint list Louis Insalaco 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 Louis Insalaco affiliated with any hospitals?

According to CMS data, Louis Insalaco is affiliated with Melrosewakefield Healthcare, Massachusetts General Hospital and Massachusetts Eye And Ear Infirmary -.

When was this NPI record last updated?

The NPPES record for Louis Insalaco was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.