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DR. JOHN EDWARD NEEDHAM M.D.
NPI 1639271679
Family Medicine in Winter Haven, FL

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
1201 1ST ST S STE 100A, WINTER HAVEN, FL 33880(863) 280-6080(863) 229-7587 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2024, Mar 3, 2016 (2 updates tracked since 2016).

About Dr. John Edward Needham M.d. NPPES

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

DR. JOHN EDWARD NEEDHAM M.D. (NPI 1639271679) is an individual family medicine provider in Winter Haven, Florida, licensed in Florida (ME109868) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Emory University School Of Medicine (1992).

NPPES Registry Identity

NPI1639271679
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN EDWARD NEEDHAMCredential: M.D.
Location Address1201 1ST ST S STE 100AWinter Haven, FL 33880-3904
Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 281-9065
Phone(863) 280-6080
Fax(863) 229-7587
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1992
Enumeration DateSeptember 1, 2006
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1639271679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME109868✔ Licensed in GA · 47498
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1201 1ST ST S STE 100A, Winter Haven, FL 33880
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Other Names 1

Professional Name (2)Eddie Needham M.d.

Other Identifiers 1

Medicaid003610000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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. John Edward Needham M.d. 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 ID6103018155
PECOS Enrollment IDI20110629000846
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 2

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.
33 services33 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33880 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.

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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES 14

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

MARVIN CHARLES DIEUJUSTE MD
Family Medicine
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6080
TAM LINH MINH HUYNH DO
Student in an Organized Health Care Education/Training Program
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6082
DR. FEISAL HAMAM MD
Student in an Organized Health Care Education/Training Program
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6080
DR. NATHAN P FALK MD
Family Medicine
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6080
BAYCARE MEDICAL GROUP INC
Family Medicine
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6080
DR. ASHLEY ROSE WILK D.O.
Family Medicine
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6080
DR. ASHLEY JESSICA FALK M.D.
Family Medicine
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6080
DR. SHANNON MARIE SMITH PH.D.
Psychologist
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Polk County (863) 280-6080

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 John Needham's NPI number?

The NPI number for John Needham is 1639271679. It was assigned to this individual provider in the NPPES registry on September 1, 2006. The provider is also known as Eddie Needham M.D..

Where is John Needham located?

John Needham practices at 1201 1st St S Ste 100A, Winter Haven, FL 33880. The listed phone number is (863) 280-6080.

What is John Needham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Needham enrolled in Medicare?

Yes. John Needham 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 John Needham accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list John Needham 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 John Needham affiliated with any hospitals?

According to CMS data, John Needham is affiliated with Winter Haven Hospital.

When was this NPI record last updated?

The NPPES record for John Needham was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.