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DR. GABOR MENCZELESZ MD
NPI 1609869833
Internal Medicine - Addiction Medicine in Saint Augustine, FL

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
3574 US HIGHWAY 1 S STE 102, SAINT AUGUSTINE, FL 32086(904) 217-7161(904) 217-4075 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Gabor Menczelesz Md NPPES

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

DR. GABOR MENCZELESZ MD (NPI 1609869833) is an individual addiction medicine provider in Saint Augustine, Florida, licensed in Florida (ME122201) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1609869833
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameDR. GABOR MENCZELESZCredential: MD
Location Address3574 US HIGHWAY 1 S STE 102Saint Augustine, FL 32086-6467
Mailing Address4620 Peele StElkton, FL 32033-4015 · (904) 302-1558 · Fax (904) 562-3343
Phone(904) 217-7161
Fax(904) 217-4075
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateAugust 23, 2005
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1609869833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in FL · ME122201
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedFamily MedicineTaxonomy 207Q00000X · License ME122201 (FL)
Also ListedInternal MedicineTaxonomy 207R00000X · License ME122201 (FL), 210461 (NY)
3574 US HIGHWAY 1 S STE 102, Saint Augustine, FL 32086
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Secondary Practice Locations 2

Location 1258 3rd StNeptune Beach, FL 32266-5130 · Phone (904) 575-2285 · Fax (904) 562-3343
Location 21437 Flagler AveJacksonville, FL 32207-8516 · Phone (904) 302-1558 · Fax (904) 562-3343

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Gabor Menczelesz 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 ID9032147434
PECOS Enrollment IDI20170104001864
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

5

Medicare enrollment records show Gabor Menczelesz reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Roy H Hinman MD PA
8.0 mi
Family Medicine
100 ARRICOLA AVENUE
St Augustine, FL 32080
  • Reassigned Medicare billing, Florida enrollment
  • 82 clinicians in this Medicare group
NPI 1649383845 (904) 825-4368
Island Doctors Intrastate LLC
8.0 mi
Primary Care
100 ARRICOLA AVE
Saint Augustine, FL 32080
  • Reassigned Medicare billing, Florida enrollment
  • 73 clinicians in this Medicare group
NPI 1568083889 (904) 825-4368
Noble Infusion, LLC
36 mi
Infusion Therapy
310 WILMETTE AVE STE 3
Ormond Beach, FL 32174
  • Reassigned Medicare billing, Florida enrollment
NPI 1346089513 (386) 957-9600
Sinai Internal Medicine Specialists
72 mi
Internal Medicine
910 OLD CAMP RD, BLDG 140 SUITE 144
The Villages, FL 32162
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1639474364 (352) 753-2224
Bethsaida Healthcare System Inc
80 mi
Adult Medicine
2986 COUNTY ROAD 503
Wildwood, FL 34785
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1003385055 (352) 753-2224

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 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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
142 services142 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
134 services134 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services19 patients
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.
16 services15 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.
11 services11 patients

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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

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 Gabor Menczelesz's NPI number?

The NPI number for Gabor Menczelesz is 1609869833. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Gabor Menczelesz located?

Gabor Menczelesz practices at 3574 Us Highway 1 S Ste 102, Saint Augustine, FL 32086. The listed phone number is (904) 217-7161.

What is Gabor Menczelesz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Gabor Menczelesz enrolled in Medicare?

Yes. Gabor Menczelesz 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 Gabor Menczelesz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabor Menczelesz reassigns Medicare benefits to 5 organizations: Roy H Hinman MD PA (St Augustine, FL), Island Doctors Intrastate LLC (Saint Augustine, FL), Noble Infusion, LLC (Ormond Beach, FL), Sinai Internal Medicine Specialists (The Villages, FL) and Bethsaida Healthcare System Inc (Wildwood, 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 Gabor Menczelesz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gabor Menczelesz accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Gabor Menczelesz 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 Gabor Menczelesz was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.