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DR. SERGIO L MENENDEZ-APONTE MD
NPI 1609897305
Internal Medicine in Winter Park, FL

Active since July 21, 2006PECOS EnrolledCLIA 10D0948493 · Waiver
120 BENMORE DR, WINTER PARK, FL 32792(407) 645-5998(407) 645-3301 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Sergio L Menendez-aponte Md NPPES

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

DR. SERGIO L MENENDEZ-APONTE MD (NPI 1609897305) is an individual internal medicine provider in Winter Park, Florida, licensed in Florida (ME-48035) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 30, 2027, and is affiliated with Adventhealth Orlando.

NPPES Registry Identity

NPI1609897305
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SERGIO L MENENDEZ-APONTECredential: MD
Location Address120 BENMORE DRWinter Park, FL 32792-4101
Mailing Address120 Benmore DrWinter Park, FL 32792-4101 · (407) 645-5998 · Fax (407) 645-3301
Phone(407) 645-5998
Fax(407) 645-3301
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJuly 21, 2006
Last NPPES UpdateFebruary 7, 2012
✔ NPI 1609897305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME-48035
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.
120 BENMORE DR, Winter Park, FL 32792
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Other Identifiers 3

Medicare UPINE-21246FL
Medicare PIN12400YFL
Medicare PIN12400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sergio L Menendez-aponte Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668427691
PECOS Enrollment IDI20111101000583
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 Reassignment

Medicare enrollment records show Sergio Menendez-aponte reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sergio Menendez-Aponte,md,pa
Same address
Clinic/Center
120 BENMORE DR
Winter Park, FL 32792
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1780952143 (407) 645-5998

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0948493

Sergio Menendez · Winter Park, FL
Active · expires Jan 30, 2027
CLIA Number10D0948493
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorSergio L. Menendez Aponte
Laboratory Phone(407) 645-5998
Laboratory LocationSergio Menendez120 Benmore Drive, Winter Park, FL 32792
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

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.
395 services160 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.
303 services138 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.
101 services101 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
49 services49 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
17 services15 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32792 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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims64 services$5.89 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers13 claims73 services$12.72 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers19 claims19 services$46.51 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers12 claims12 services$13.45 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers13 claims13 services$10.49 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers24 claims136 services$1.67 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 3

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

DEANNA GRAHAM CROWNINGSHIELD ARNP
Nurse Practitioner (Family)
120 BENMORE DR
WINTER PARK, FL 32792
Orange County (407) 645-5998
RAPHAELA FRIAS
Internal Medicine
120 BENMORE DR
WINTER PARK, FL 32792
Orange County (407) 695-5998
SERGIO MENENDEZ-APONTE,MD,PA
Clinic/Center
120 BENMORE DR
WINTER PARK, FL 32792
Orange County (407) 645-5998

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 Sergio Menendez-aponte's NPI number?

The NPI number for Sergio Menendez-aponte is 1609897305. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Sergio Menendez-aponte located?

Sergio Menendez-aponte practices at 120 Benmore Dr, Winter Park, FL 32792. The listed phone number is (407) 645-5998.

What is Sergio Menendez-aponte's specialty?

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

Is Sergio Menendez-aponte enrolled in Medicare?

Yes. Sergio Menendez-aponte is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sergio Menendez-aponte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Menendez-aponte reassigns Medicare benefits to Sergio Menendez-Aponte,md,pa (Winter Park, FL). The 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 Sergio Menendez-aponte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Sergio Menendez-aponte hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0948493) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sergio Menendez-aponte accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. and 2 other insurers list Sergio Menendez-aponte 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 Sergio Menendez-aponte affiliated with any hospitals?

According to CMS data, Sergio Menendez-aponte is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Sergio Menendez-aponte was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.