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DR. FLORENCIO MAMAUAG M.D.
NPI 1487116406
Internal Medicine in Louisville, KY

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
200 E CHESTNUT ST STE 303, LOUISVILLE, KY 40202(502) 629-5552(502) 629-3132 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Aug 17, 2025, Jul 10, 2022 and 1 more (4 updates tracked since 2019).

About Dr. Florencio Mamauag M.d. NPPES

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

DR. FLORENCIO MAMAUAG M.D. (NPI 1487116406) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (61710) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1487116406
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. FLORENCIO MAMAUAGCredential: M.D.
Location Address200 E CHESTNUT ST STE 303Louisville, KY 40202-1831
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 629-5552
Fax(502) 629-3132
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateApril 28, 20264 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1487116406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KY · 61710✔ Licensed in PA · MD478220
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 E CHESTNUT ST STE 303, Louisville, KY 40202
Open in Google Maps ↗

Secondary Practice Location 1

Location 11515 Locust Street, First FloorPittsburgh, PA 15219 · Phone (412) 232-4065

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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. Florencio Mamauag M.d. 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 ID7012249436
PECOS Enrollment IDI20220621002815, I20260527003415
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 Reassignments

2

Medicare enrollment records show Florencio Mamauag reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.
1.7 mi
Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1245312503 (502) 636-3164
University Of Pittsburgh Physicians
321 mi
Neurological Surgery
425 W FIFTH ST, EAST LIVERPOOL CITY HOSPITAL
East Liverpool, OH 43920
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1811945793 (330) 386-3195

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 4

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.

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.
113 services62 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
79 services74 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services21 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

CHARITY ANN BATMAN APRN
Nurse Practitioner (Acute Care)
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552
DAVID RYAN CHAPMAN
Family Medicine
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552
MELISSA M. WITT ARNP
Nurse Practitioner (Acute Care)
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552
HALA KARNIB M.D.
Internal Medicine (Pulmonary Disease)
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-4409
TERESA BERNADETTE FINKE-MORELAND M.D.
Internal Medicine
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552
MARK ANTHONY GARDON II
Internal Medicine
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552
CANDACE MIDDLETON-COMBS APRN, FNP-C
Nurse Practitioner (Family)
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552
SHANNON O'HARA MD
Internal Medicine
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552

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 Florencio Mamauag's NPI number?

The NPI number for Florencio Mamauag is 1487116406. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Florencio Mamauag located?

Florencio Mamauag practices at 200 E Chestnut St Ste 303, Louisville, KY 40202. The listed phone number is (502) 629-5552.

What is Florencio Mamauag's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Florencio Mamauag enrolled in Medicare?

Yes. Florencio Mamauag 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 Florencio Mamauag's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Florencio Mamauag reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and University Of Pittsburgh Physicians (East Liverpool, OH). 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 Florencio Mamauag's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Florencio Mamauag accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Florencio Mamauag 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 Florencio Mamauag affiliated with any hospitals?

According to CMS data, Florencio Mamauag is affiliated with Norton Hospitals, Inc and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Florencio Mamauag was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.