GEORGETTA BUNDLEY MD
NPI 1407341647
Internal Medicine - Hospice and Palliative Medicine in Tampa, FL

Active since June 29, 2018PECOS EnrolledAccepts Medicare Assignment
89.43/100
CMS Quality Rating
12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-7365(813) 449-8618 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2026, Jun 26, 2025, Jul 29, 2022 and 3 more (6 updates tracked since 2018).

About Georgetta Bundley Md NPPES

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

GEORGETTA BUNDLEY MD (NPI 1407341647) is an individual hospice and palliative medicine provider in Tampa, Florida, licensed in Florida (ME144224) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1407341647
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameGEORGETTA BUNDLEYCredential: MD
Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416
Mailing Address12902 Usf Magnolia DrTampa, FL 33612-9416 · (813) 745-6395 · Fax (813) 449-8450
Fax(813) 449-8618
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 2018
Enumeration DateJune 29, 2018
Last NPPES UpdateApril 27, 20266 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
NPI 1407341647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License Licensed in FL · ME144224
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 144224 (FL), TRN26730 (FL)
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License ME144224 (FL)
12902 USF MAGNOLIA DR, Tampa, FL 33612

Secondary Practice Location 1

Location 117 Davis Blvd Ste 308Tampa, FL 33606-3438 · Phone (813) 974-2201

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

Georgetta Bundley 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 ID2365870045
PECOS Enrollment IDI20220816000926
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 6

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.
43 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services16 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.
24 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

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.

89.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.84
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%174 patients4/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Surgery
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Radiology (Radiation Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Physician Assistant
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Obstetrics & Gynecology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Pathology (Anatomic Pathology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612

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 Georgetta Bundley's NPI number?

The NPI number for Georgetta Bundley is 1407341647. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Georgetta Bundley located?

Georgetta Bundley practices at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (813) 745-7365.

What is Georgetta Bundley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Georgetta Bundley enrolled in Medicare?

Yes. Georgetta Bundley 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.

Is Georgetta Bundley affiliated with any hospitals?

According to CMS data, Georgetta Bundley is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Georgetta Bundley was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.