DR. RANDALL SCOTT ANSELMO MD
NPI 1417024936
Family Medicine in St Augustine, FL

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
130 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086(904) 826-3469(904) 808-4608 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Randall Scott Anselmo Md NPPES

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

DR. RANDALL SCOTT ANSELMO MD (NPI 1417024936) is an individual family medicine provider in St Augustine, Florida, licensed in Vermont (042-0010651) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and maintains a secondary practice location in Bennington.

NPPES Registry Identity

NPI1417024936
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RANDALL SCOTT ANSELMOCredential: MD
Location Address130 HEALTH PARK BLVDSt Augustine, FL 32086-5776
Mailing Address417 Marsh Point CirSt Augustine, FL 32080-5865 · (802) 375-4005 · Fax (802) 491-8231
Fax(904) 808-4608
Sole ProprietorYes
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1993
Enumeration DateNovember 29, 2006
Last NPPES UpdateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
NPI 1417024936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VT · 042-0010651
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

130 HEALTH PARK BLVD, St Augustine, FL 32086

Secondary Practice Location 1

Location 11 College DrBennington, VT 05201-6003 · Phone (802) 440-4426 · Fax (802) 440-4427

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

Dr. Randall Scott Anselmo 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 ID4789844317
PECOS Enrollment IDI20240212003096
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.

Hospital Affiliations CMS Care Compare 2

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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 15

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

Nurse Practitioner (Family)
130 HEALTH PARK BLVD
ST. AUGUSTINE, FL 32086
Family Medicine
130 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Family Medicine
130 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Family Medicine
130 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Family Medicine
130 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Family Medicine
130 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Family Medicine
130 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Physician Assistant
130 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417024936, enumerated as an "individual" on November 29, 2006.

The provider is located at 130 HEALTH PARK BLVD ST AUGUSTINE, FL 32086 and the phone number is (904) 826-3469.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.

Randall Anselmo is affiliated with: FLAGLER HOSPITAL and FLORIDA HOSPITAL FLAGLER.