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ANDREW C HALPERN MD
NPI 1487640397
Pediatrics in Ormond Beach, FL

Active since September 26, 2005PECOS Enrolled
200 BOOTH RD, SUITE A, ORMOND BEACH, FL 32174(386) 523-1212(386) 523-1213 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Mar 7, 2023, Mar 4, 2016 and 1 more (4 updates tracked since 2016).

About Andrew C Halpern Md NPPES

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

ANDREW C HALPERN MD (NPI 1487640397) is an individual pediatrics provider in Ormond Beach, Florida, licensed in Florida (ME124133) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Miami Beach.

NPPES Registry Identity

NPI1487640397
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameANDREW C HALPERNCredential: MD
Location Address200 BOOTH RD, SUITE AOrmond Beach, FL 32174-5715
Mailing AddressPo Box 732901Dallas, TX 75373-2901 · (386) 226-4590 · Fax (386) 226-3371
Phone(386) 523-1212
Fax(386) 523-1213
Sole ProprietorNo
Enumeration DateSeptember 26, 2005
Last NPPES UpdateMay 29, 20264 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1487640397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME124133✔ Licensed in NY · 223250-1
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.
200 BOOTH RD, Ormond Beach, FL 32174
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Secondary Practice Location 1

Location 14308 Alton Rd Ste 910Miami Beach, FL 33140-4560 · Phone (305) 532-3378 · Fax (305) 532-1164

Other Identifiers 4

Medicaid64097124KY
Other000000359520IN · Anthem Bc/bs
Other15D1038972IN · Clia
Medicaid200063730AIN

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew C Halpern Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32174 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.

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.

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.
96%1,230 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
1%295 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
78%172 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
18%2,051 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
90%2,051 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%2,051 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
30%2,051 patients
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 4

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

CHILDREN'S MEDICAL CENTER OF ORMOND BEACH
Specialist
200 BOOTH RD, SUITE A
ORMOND BEACH, FL 32174
Flagler County (386) 523-1212
ELLEN NICOLE DESIMONE A.R.N.P.
Nurse Practitioner (Family)
200 BOOTH RD, SUITE A
ORMOND BEACH, FL 32174
Flagler County (386) 425-1212
DR. ANGELA M. GIANINI M.D.
Pediatrics
200 BOOTH RD, SUITE 4A
ORMOND BEACH, FL 32174
Flagler County (386) 523-1212
SALMAN AHMED MD
Pediatrics
200 BOOTH RD, SUITE A
ORMOND BEACH, FL 32174
Flagler County (386) 523-1212

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 Andrew Halpern's NPI number?

The NPI number for Andrew Halpern is 1487640397. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Andrew Halpern located?

Andrew Halpern practices at 200 Booth Rd Suite A, Ormond Beach, FL 32174. The listed phone number is (386) 523-1212.

What is Andrew Halpern's specialty?

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

Is Andrew Halpern enrolled in Medicare?

Yes. Andrew Halpern is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Halpern accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Andrew Halpern 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 Andrew Halpern was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.