SIMONE PIRAINO MD
NPI 1336366699
Obstetrics & Gynecology in Fleming Island, FL

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment
91.79/100
CMS Quality Rating
1680 EAGLE HARBOR PKWY STE A, FLEMING ISLAND, FL 32003(904) 264-9555 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Simone Piraino Md NPPES

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

SIMONE PIRAINO MD (NPI 1336366699) is an individual obstetrics & gynecology provider in Fleming Island, Florida, licensed in Florida (ME174507) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains a secondary practice location in Schenectady.

NPPES Registry Identity

NPI1336366699
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSIMONE PIRAINOCredential: MD
Location Address1680 EAGLE HARBOR PKWY STE AFleming Island, FL 32003-4821
Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2006
Enumeration DateApril 19, 2007
Last NPPES UpdateJune 4, 2025
NPPES CertifiedJune 4, 2025
NPI 1336366699 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 · ME174507 Licensed in NY · 256902 Licensed in PA · MT188974
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.
1680 EAGLE HARBOR PKWY STE A, Fleming Island, FL 32003

Secondary Practice Location 1

Location 12123 River RdSchenectady, NY 12309-1135 · Phone (518) 381-1121

Accepted 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

Simone Piraino 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 ID4183748775
PECOS Enrollment IDI20100903000220, I20250609002717
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.

Areas of Expertise CMS Part B claims 2

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.
31 services23 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32003 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.

91.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.71
Improvement Activities40
Cost74.35

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.

Advanced Practice Midwife
1680 EAGLE HARBOR PKWY STE A
ORANGE PARK, FL 32003
Obstetrics & Gynecology
1680 EAGLE HARBOR PKWY STE A
FLEMING ISLAND, FL 32003
Nurse Practitioner (Women's Health)
1680 EAGLE HARBOR PKWY STE A
ORANGE PARK, FL 32003
Advanced Practice Midwife
1680 EAGLE HARBOR PKWY STE A
FLEMING ISLAND, FL 32003
Advanced Practice Midwife
1680 EAGLE HARBOR PKWY STE A
FLEMING ISLAND, FL 32003
Obstetrics & Gynecology
1680 EAGLE HARBOR PKWY STE A
ORANGE PARK, FL 32003
Obstetrics & Gynecology
1680 EAGLE HARBOR PKWY STE A
ORANGE PARK, FL 32003
Advanced Practice Midwife
1680 EAGLE HARBOR PKWY STE A
FLEMING ISLAND, FL 32003

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 Simone Piraino's NPI number?

The NPI number for Simone Piraino is 1336366699. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Simone Piraino located?

Simone Piraino practices at 1680 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003. The listed phone number is (904) 264-9555.

What is Simone Piraino's specialty?

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

Is Simone Piraino enrolled in Medicare?

Yes. Simone Piraino 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.

What insurance does Simone Piraino accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Simone Piraino 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 Simone Piraino affiliated with any hospitals?

According to CMS data, Simone Piraino is affiliated with Baptist Health Medical Center - Jacksonville and Ellis Hospital.

When was this NPI record last updated?

The NPPES record for Simone Piraino was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.