BEVERLY ENCARNACION MD
NPI 1659331270
Internal Medicine in Dunedin, FL

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
2128 MAIN ST, DUNEDIN, FL 34698(727) 736-7733(727) 736-7740 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Beverly Encarnacion Md NPPES

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

BEVERLY ENCARNACION MD (NPI 1659331270) is an individual internal medicine provider in Dunedin, Florida, licensed in Florida (ME007280) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Mease Dunedin Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1659331270
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBEVERLY ENCARNACIONCredential: MD
Location Address2128 MAIN STDunedin, FL 34698-5604
Mailing Address2128 Main StDunedin, FL 34698-5604 · (727) 736-7733 · Fax (727) 736-7740
Fax(727) 736-7740
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateMarch 27, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1659331270 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 · ME007280
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.
2128 MAIN ST, Dunedin, FL 34698

Other Identifiers 3

Medicaid254970100FL
Other43411FL · Blue Cross Blue Shield
OtherP00061262FL · Railroad Medicare

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

Beverly Encarnacion 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 ID9830131473
PECOS Enrollment IDI20050524001244
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

2

Medicare enrollment records show Beverly Encarnacion reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2128 MAIN ST
Dunedin, FL 34698
  • Reassigned Medicare billing, Florida enrollment
  • 186 clinicians in this Medicare group
Internal Medicine
1100 S FORT HARRISON AVE
Clearwater, FL 33756
  • Reassigned Medicare billing, Florida enrollment
  • 109 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 9

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 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.
222 services119 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.
92 services71 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.
82 services82 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.
71 services71 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.
65 services65 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.
21 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Mease Dunedin Hospital

Acute Care Hospitals · Dunedin, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100043
Location601 Main StDunedin, FL 34698 · Pinellas County
Emergency services

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 34698 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.

Other Providers at the Same Location NPPES 4

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

Internal Medicine
2128 MAIN ST
DUNEDIN, FL 34698
Clinic/Center (Primary Care)
2128 MAIN ST
DUNEDIN, FL 34698
Internal Medicine
2128 MAIN ST
DUNEDIN, FL 34698
Internal Medicine
2128 MAIN ST
DUNEDIN, FL 34698

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 Beverly Encarnacion's NPI number?

The NPI number for Beverly Encarnacion is 1659331270. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Beverly Encarnacion located?

Beverly Encarnacion practices at 2128 Main St, Dunedin, FL 34698. The listed phone number is (727) 736-7733.

What is Beverly Encarnacion's specialty?

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

Is Beverly Encarnacion enrolled in Medicare?

Yes. Beverly Encarnacion 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 Beverly Encarnacion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Encarnacion reassigns Medicare benefits to 2 organizations: Florida Medical Specialists, LLC (Dunedin, FL) and Best Value Healthcare LLC (Clearwater, 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 Beverly Encarnacion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beverly Encarnacion accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Beverly Encarnacion 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 Beverly Encarnacion affiliated with any hospitals?

According to CMS data, Beverly Encarnacion is affiliated with Mease Dunedin Hospital and Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Beverly Encarnacion was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.