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DR. SUSANNA O BUCHHOLZ MD
NPI 1386638864
Pediatrics in Santa Rosa Beach, FL

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment
91 MACK BAYOU LOOP, SANTA ROSA BEACH, FL 32459(850) 659-6556 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2019, Jan 7, 2019 (2 updates tracked since 2019).

About Dr. Susanna O Buchholz Md NPPES

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

DR. SUSANNA O BUCHHOLZ MD (NPI 1386638864) is an individual pediatrics provider in Santa Rosa Beach, Florida, licensed in Florida (ME90657) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2001).

NPPES Registry Identity

NPI1386638864
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUSANNA O BUCHHOLZCredential: MD
Location Address91 MACK BAYOU LOOPSanta Rosa Beach, FL 32459-2604
Mailing Address91 Mack Bayou LoopSanta Rosa Beach, FL 32459-2604 · (850) 659-6556
Phone(850) 659-6556
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2001
Enumeration DateSeptember 9, 2005
Last NPPES UpdateNovember 18, 20192 updates tracked since enumeration
✔ NPI 1386638864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME90657
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
91 MACK BAYOU LOOP, Santa Rosa Beach, FL 32459
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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

Dr. Susanna O Buchholz 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 ID2062471980
PECOS Enrollment IDI20041006001293
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 Reassignment

Medicare enrollment records show Susanna Buchholz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bridgeway Center, Inc
18 mi
General Practice
137 HOSPITAL DR NE
Fort Walton Beach, FL 32548
  • Reassigned Medicare billing, Florida enrollment
  • 26 clinicians in this Medicare group
NPI 1174169080 (850) 226-8857

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32459 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.

Other Providers at the Same Location NPPES

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

MRS. GIAVANNA MEGILL CPNP-PC
Nurse Practitioner (Pediatrics)
91 MACK BAYOU LOOP
SANTA ROSA BEACH, FL 32459
Walton County (850) 659-6556

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 Susanna Buchholz's NPI number?

The NPI number for Susanna Buchholz is 1386638864. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Susanna Buchholz located?

Susanna Buchholz practices at 91 Mack Bayou Loop, Santa Rosa Beach, FL 32459. The listed phone number is (850) 659-6556.

What is Susanna Buchholz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Susanna Buchholz enrolled in Medicare?

Yes. Susanna Buchholz 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 organization bills Medicare for Susanna Buchholz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susanna Buchholz reassigns Medicare benefits to Bridgeway Center, Inc (Fort Walton Beach, FL). The 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 Susanna Buchholz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susanna Buchholz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 5 other insurers list Susanna Buchholz 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 Susanna Buchholz was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.