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ETZER MICHELET AUGUSTIN MD
NPI 1659866945
Radiology - Radiation Oncology in Kissimmee, FL

Active since June 28, 2018PECOS Enrolled
1300 W OAK ST, KISSIMMEE, FL 34741(407) 944-5200(407) 944-5250 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2026, Jun 28, 2018 (2 updates tracked since 2018).

About Etzer Michelet Augustin Md NPPES

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

ETZER MICHELET AUGUSTIN MD (NPI 1659866945) is an individual radiation oncology provider in Kissimmee, Florida, licensed in Florida (ME179181) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Orlando, and is a graduate of Florida State University College Of Medicine (2018).

NPPES Registry Identity

NPI1659866945
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameETZER MICHELET AUGUSTINCredential: MD
Location Address1300 W OAK STKissimmee, FL 34741-4024
Mailing Address86 W Underwood StOrlando, FL 32806-1110 · (321) 841-5142 · Fax (407) 648-3686
Phone(407) 944-5200
Fax(407) 944-5250
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2018
Enumeration DateJune 28, 2018
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1659866945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in FL · ME179181
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN27316 (FL)
1300 W OAK ST, Kissimmee, FL 34741
Open in Google Maps ↗

Secondary Practice Location 1

Location 186 W Underwood StOrlando, FL 32806-1110 · Phone (321) 841-5142 · Fax (407) 648-3686

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Etzer Michelet Augustin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547726598
PECOS Enrollment IDI20260729004313
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 Etzer Augustin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Radiology Imaging At Lake Mary, LLC
12 mi
Diagnostic Radiology
9975 TAVISTOCK LAKES BLVD, SUITE 120
Orlando, FL 32827
  • Reassigned Medicare billing, Florida enrollment
  • 433 clinicians in this Medicare group
NPI 1003208620 (407) 200-2865
Florida Hospital Medical Group Inc
19 mi
Diagnostic Radiology
601 E ROLLINS STREET
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 428 clinicians in this Medicare group
NPI 1073785044 (407) 200-2355

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34741 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 3

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

MILDRED MARIA JOHNSON APRN
Nurse Practitioner (Family)
1300 W OAK ST
KISSIMMEE, FL 34741
Osceola County (407) 944-5240
VIPUL GAURISHANKAR PAREEK MD
Internal Medicine (Hematology & Oncology)
1300 W OAK ST
KISSIMMEE, FL 34741
Osceola County (407) 944-5240
FLORIDA ONCOLOGY NETWORK, PA
Radiology (Radiation Oncology)
1300 W OAK ST
KISSIMMEE, FL 34741
Osceola County (407) 944-5201

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 Etzer Augustin's NPI number?

The NPI number for Etzer Augustin is 1659866945. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Where is Etzer Augustin located?

Etzer Augustin practices at 1300 W Oak St, Kissimmee, FL 34741. The listed phone number is (407) 944-5200.

What is Etzer Augustin's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Etzer Augustin enrolled in Medicare?

Yes. Etzer Augustin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Etzer Augustin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Etzer Augustin reassigns Medicare benefits to 2 organizations: Florida Radiology Imaging At Lake Mary, LLC (Orlando, FL) and Florida Hospital Medical Group Inc (Orlando, 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 Etzer Augustin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Etzer Augustin was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.