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DR. TOMMIE LYNN BETANCOURT D.O.
NPI 1629218714
Internal Medicine in Clearwater, FL

Active since March 02, 2009PECOS EnrolledAccepts Medicare Assignment
300 PINELLAS ST, CLEARWATER, FL 33756(727) 462-7907(727) 462-7904 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2022, Feb 25, 2022, May 21, 2018 (3 updates tracked since 2018).

About Dr. Tommie Lynn Betancourt D.o. NPPES

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

DR. TOMMIE LYNN BETANCOURT D.O. (NPI 1629218714) is an individual internal medicine provider in Clearwater, Florida, licensed in Florida (OS11010) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Morton Plant Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1629218714
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. TOMMIE LYNN BETANCOURTCredential: D.O.
Location Address300 PINELLAS STClearwater, FL 33756-3804
Mailing Address300 Pinellas StClearwater, FL 33756-3804 · (727) 462-7907 · Fax (727) 462-7904
Phone(727) 462-7907
Fax(727) 462-7904
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 2, 2009
Last NPPES UpdateAugust 12, 20223 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
✔ NPI 1629218714 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 · OS11010
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.
300 PINELLAS ST, Clearwater, FL 33756
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Other Names 1

Former Name (1)Miss Tommie Lynn Albright D.o.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tommie Lynn Betancourt D.o. 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 ID2466623996
PECOS Enrollment IDI20110914000087
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.

Areas of Expertise CMS Part B claims 5

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.
248 services132 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.
224 services118 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
144 services141 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.
34 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33756 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.

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%204 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
92%464 patients3/55-star benchmark: 100%
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.

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims14 services$17.79 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.

BRYAN HYMAN DO
Emergency Medicine
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 447-7175
JENSEN THOMPSON PA-C
Physician Assistant
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 462-7000
MANDEE PETERSON CRNA
Nurse Anesthetist, Certified Registered
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 462-7000
ALEXANDRA ABREU-ESPOSITO PA-C
Physician Assistant
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 447-7175
DR. IRMA ALVES M.D.
Internal Medicine
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 462-7908
DR. MARK W STANFORD MD
Emergency Medicine
300 PINELLAS ST, MORTON PLANT HOSPITAL
CLEARWATER, FL 33756
Pinellas County (727) 462-7000
HEATHER JO BRINK PHARMD
Pharmacist
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (480) 213-5012
KIRAN RABHERU MD
Psychiatry & Neurology (Psychiatry)
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 298-6283

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 Tommie Betancourt's NPI number?

The NPI number for Tommie Betancourt is 1629218714. It was assigned to this individual provider in the NPPES registry on March 2, 2009. The provider is also known as Miss Tommie Lynn Albright D.O..

Where is Tommie Betancourt located?

Tommie Betancourt practices at 300 Pinellas St, Clearwater, FL 33756. The listed phone number is (727) 462-7907.

What is Tommie Betancourt's specialty?

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

Is Tommie Betancourt enrolled in Medicare?

Yes. Tommie Betancourt 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.

What insurance does Tommie Betancourt accept?

Health plans from AvMed list Tommie Betancourt 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 Tommie Betancourt affiliated with any hospitals?

According to CMS data, Tommie Betancourt is affiliated with Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Tommie Betancourt was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.