DR. JACOB ARTHUR SAMBURSKY MD
NPI 1619436474
Psychiatry & Neurology - Neurology in Fort Myers, FL
About Dr. Jacob Arthur Sambursky Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACOB ARTHUR SAMBURSKY MD (NPI 1619436474) is an individual neurology provider in Fort Myers, Florida, licensed in Florida (ME163526) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 6 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 6
Other Identifiers 1
Accepted 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. Jacob Arthur Sambursky 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.
Medicare Billing Reassignments
30Medicare enrollment records show Jacob Sambursky reassigns Medicare billing to 30 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Myers, FL 33966
- Reassigned Medicare billing, Florida enrollment
- 16 clinicians in this Medicare group
Fort Myers, FL 33966
- Reassigned Medicare billing, Florida enrollment
- 18 clinicians in this Medicare group
Fort Myers, FL 33966
- Reassigned Medicare billing, Florida enrollment
- 12 clinicians in this Medicare group
Fort Myers, FL 33966
- Reassigned Medicare billing, Florida enrollment
- 26 clinicians in this Medicare group
Fort Myers, FL 33901
- Reassigned Medicare billing, Florida enrollment
- 1,345 clinicians in this Medicare group
Fort Myers, FL 33908
- Reassigned Medicare billing, Florida enrollment
- 1,899 clinicians in this Medicare group
Lehigh Acres, FL 33936
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Nchmd Inc
- 808 clinicians in this Medicare group
Thomaston, GA 30286
- Reassigned Medicare billing, Florida enrollment
- 23 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 792 clinicians in this Medicare group
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 410 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 3
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Orlando
Acute Care Hospitals · Orlando, FLMorton Plant Hospital
Acute Care Hospitals · Clearwater, FLRedmond Regional Medical Center
Acute Care Hospitals · Rome, GAChristus St Vincent Regional Medical Center
Acute Care Hospitals · Santa Fe, NMChristus St Michael Health System
Acute Care Hospitals · Texarkana, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33966 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT MYERS, FL 33966
FORT MYERS, FL 33966
FORT MYERS, FL 33966
FORT MYERS, FL 33966
FORT MYERS, FL 33966
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 Jacob Sambursky's NPI number?
The NPI number for Jacob Sambursky is 1619436474. It was assigned to this individual provider in the NPPES registry on March 19, 2019.
Where is Jacob Sambursky located?
Jacob Sambursky practices at 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966. The listed phone number is (239) 208-2212.
What is Jacob Sambursky's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Jacob Sambursky enrolled in Medicare?
Yes. Jacob Sambursky 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 Jacob Sambursky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Sambursky reassigns Medicare benefits to 30 organizations: Virtual Neurology Kansas, LLC (Fort Myers, FL), Virtual Neurology PC (Fort Myers, FL), Telespecialists North Carolina Neurology Services PLLC (Fort Myers, FL), Virtual Neurology, LLC (Fort Myers, FL), Lee Memorial Health System (Fort Myers, FL) and 25 more organizations, listed in the Medicare section above. 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 Jacob Sambursky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Sambursky accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 17 other insurers list Jacob Sambursky 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 Jacob Sambursky affiliated with any hospitals?
According to CMS data, Jacob Sambursky is affiliated with Adventhealth Orlando, Morton Plant Hospital, Redmond Regional Medical Center, Christus St Vincent Regional Medical Center and Christus St Michael Health System.
When was this NPI record last updated?
The NPPES record for Jacob Sambursky was last updated on May 18, 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.
# Dr. Jacob Arthur Sambursky, MD · NPI 1619436474
Neurology physician in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since March 19, 2019.
## Identity
- **NPI:** 1619436474 (Entity type: Individual)
- **Enumerated:** March 19, 2019
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** ME163526 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 11215 METRO PKWY STE 1, Fort Myers, FL 33966-1206
- **Phone:** (239) 208-2212
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 30 organizations under Medicare reassignment (form CMS-855R): Virtual Neurology Kansas, LLC (NPI 1942922687, Fort Myers, FL); Virtual Neurology PC (NPI 1336808567, Fort Myers, FL); Telespecialists North Carolina Neurology Services PLLC (NPI 1245926138, Fort Myers, FL); Virtual Neurology, LLC (NPI 1760940167, Fort Myers, FL); Lee Memorial Health System (NPI 1134222532, Fort Myers, FL); and 25 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Univ Of Central Florida, College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** May 18, 2026
- **Other identifiers:** Medicaid 119994300 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1619436474) · Data from the CMS NPPES public registry.