DR. DANIEL L. SONTHEIMER M.D., MBA
NPI 1528158458
Family Medicine - Hospice and Palliative Medicine in Pensacola, FL

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
123 BAPTIST WAY, PENSACOLA, FL 32503(448) 227-8478 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2024, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Daniel L. Sontheimer M.d., Mba NPPES

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

DR. DANIEL L. SONTHEIMER M.D., MBA (NPI 1528158458) is an individual hospice and palliative medicine provider in Pensacola, Florida, licensed in Florida (ME118202) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1993).

NPPES Registry Identity

NPI1528158458
Entity TypeIndividualMale
Primary Taxonomy207QH0002X
Provider Legal NameDR. DANIEL L. SONTHEIMERCredential: M.D., MBA
Location Address123 BAPTIST WAYPensacola, FL 32503-2254
Mailing Address123 Baptist WayPensacola, FL 32503-2254 · (850) 469-7406
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1993
Enumeration DateOctober 13, 2006
Last NPPES UpdateDecember 9, 20244 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1528158458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License✔ Licensed in FL · ME118202
Definition
A family 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 2003018088 (MO)
Also ListedHospitalistTaxonomy 208M00000X · License ME118202 (FL)
123 BAPTIST WAY, Pensacola, FL 32503

Other Identifiers 1

Medicaid010399500FL

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. Daniel L. Sontheimer M.d., Mba 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 ID3072400118
PECOS Enrollment IDI20131217001033
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

4

Medicare enrollment records show Daniel Sontheimer reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1110 GULF BREEZE PKWY
Gulf Breeze, FL 32561
  • Reassigned Medicare billing, Florida enrollment
  • 150 clinicians in this Medicare group
Hematology & Oncology
125 BAPTIST WAY STE 6A
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 241 clinicians in this Medicare group
Urgent Care
5100 N 12TH AVE
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group
Urgent Care
8888 NAVARRE PKWY STE 106
Navarre, FL 32566
  • Reassigned Medicare billing, Florida enrollment
  • 69 clinicians in this Medicare group

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.
129 services61 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
47 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services22 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.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100266
Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32503 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers17 claims17 services$5.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
123 BAPTIST WAY
PENSACOLA, FL 32503
Physician Assistant
123 BAPTIST WAY
PENSACOLA, FL 32503
Pediatrics (Neonatal-Perinatal Medicine)
123 BAPTIST WAY
PENSACOLA, FL 32503
Nurse Practitioner (Family)
123 BAPTIST WAY
PENSACOLA, FL 32503
Internal Medicine (Hospice and Palliative Medicine)
123 BAPTIST WAY
PENSACOLA, FL 32503
Pediatrics (Neonatal-Perinatal Medicine)
123 BAPTIST WAY
PENSACOLA, FL 32503
Dietitian, Registered
123 BAPTIST WAY
PENSACOLA, FL 32503
Anesthesiology
123 BAPTIST WAY
PENSACOLA, FL 32503

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 Daniel Sontheimer's NPI number?

The NPI number for Daniel Sontheimer is 1528158458. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Daniel Sontheimer located?

Daniel Sontheimer practices at 123 Baptist Way, Pensacola, FL 32503. The listed phone number is (448) 227-8478.

What is Daniel Sontheimer's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Daniel Sontheimer enrolled in Medicare?

Yes. Daniel Sontheimer 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 Daniel Sontheimer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Sontheimer reassigns Medicare benefits to 4 organizations: Pensacola Hospitalist Physicians, LLC (Gulf Breeze, FL), Baptist Medical Group LLC (Pensacola, FL), Baptist Urgent Care, LLC (Pensacola, FL) and Baptist Physician Associates LLC (Navarre, FL). 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 Daniel Sontheimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Daniel Sontheimer affiliated with any hospitals?

According to CMS data, Daniel Sontheimer is affiliated with Baptist Hospital and Gulf Breeze Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Sontheimer was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.