SIMONE PIRAINO MD
NPI 1336366699
Obstetrics & Gynecology in Fleming Island, FL
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
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Simone Piraino reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tampa, FL 33607
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Womens Care Florida LLC
- 679 clinicians in this Medicare group
Tampa, FL 33607
- Reassigned Medicare billing, Florida enrollment
- 619 clinicians in this Medicare group
Schenectady, NY 12308
- Reassigned Medicare billing, New York enrollment
- 462 clinicians in this Medicare group
Latham, NY 12110
- Reassigned Medicare billing, New York enrollment
- 474 clinicians in this Medicare group
Schenectady, NY 12309
- Reassigned Medicare billing, New York enrollment
- 14 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare
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, FLPhysician 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.
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.
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.
FLEMING ISLAND, FL 32003
ORANGE PARK, FL 32003
FLEMING ISLAND, FL 32003
ORANGE PARK, FL 32003
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.
Which organizations bill Medicare for Simone Piraino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Simone Piraino reassigns Medicare benefits to 5 organizations: Women's Care Florida LLC (Tampa, FL), Womens' Health Hospitalists, LLC (Tampa, FL), Ellis Hospital (Schenectady, NY), Community Care Physicians, PLLC (Latham, NY) and Carenet Medical Group, PC (Schenectady, NY). 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 Simone Piraino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Simone Piraino accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers 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.
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 16 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.
# Simone Piraino, MD · NPI 1336366699
Obstetrics & Gynecology physician in Fleming Island, Florida. Individual provider, active in the CMS NPPES registry since April 19, 2007.
## Identity
- **NPI:** 1336366699 (Entity type: Individual)
- **Enumerated:** April 19, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** ME174507 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1680 EAGLE HARBOR PKWY STE A, Fleming Island, FL 32003-4821
- **Phone:** (904) 264-9555
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Women's Care Florida LLC (NPI 1013902923, Tampa, FL); Womens' Health Hospitalists, LLC (NPI 1205295599, Tampa, FL); Ellis Hospital (NPI 1487644993, Schenectady, NY); Community Care Physicians, PLLC (NPI 1922048370, Latham, NY); Carenet Medical Group, PC (NPI 1194785527, Schenectady, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 2006
## Record status
- **NPPES last updated:** June 4, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1336366699) · Data from the CMS NPPES public registry.