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BENJAMIN DAVID HEFLIN DO
NPI 1669001525
Family Medicine in Englewood, FL

Active since April 03, 2020PECOS Enrolled
1951 S MCCALL RD, ENGLEWOOD, FL 34223(941) 205-0520 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Benjamin David Heflin Do NPPES

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

BENJAMIN DAVID HEFLIN DO (NPI 1669001525) is an individual family medicine provider in Englewood, Florida, licensed in Florida (OS18970) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669001525
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN DAVID HEFLINCredential: DO
Location Address1951 S MCCALL RDEnglewood, FL 34223-4954
Mailing Address1951 S Mccall RdEnglewood, FL 34223-4954 · (941) 205-0520
Phone(941) 205-0520
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 3, 2020
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
✔ NPI 1669001525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS18970
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.
1951 S MCCALL RD, Englewood, FL 34223
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin David Heflin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779942966
PECOS Enrollment IDI20230706002108
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 Reassignment

Medicare enrollment records show Benjamin Heflin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Paxton Medical Management
Same address
Family Medicine
1951 S MCCALL RD STE 700
Englewood, FL 34223
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1134899651 (941) 205-0520

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 6

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.
81 services59 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.
63 services49 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.
52 services52 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
49 services40 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.
45 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Hca Florida Englewood Hospital

Acute Care Hospitals · Englewood, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100267
Location700 Medical BlvdEnglewood, FL 34223 · Sarasota County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34223 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.

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 Benjamin Heflin's NPI number?

The NPI number for Benjamin Heflin is 1669001525. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Benjamin Heflin located?

Benjamin Heflin practices at 1951 S Mccall Rd, Englewood, FL 34223. The listed phone number is (941) 205-0520.

What is Benjamin Heflin's specialty?

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

Is Benjamin Heflin enrolled in Medicare?

Yes. Benjamin Heflin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Benjamin Heflin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Heflin reassigns Medicare benefits to Paxton Medical Management (Englewood, FL). The 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 Benjamin Heflin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Benjamin Heflin affiliated with any hospitals?

According to CMS data, Benjamin Heflin is affiliated with Sarasota Memorial Hospital and Hca Florida Englewood Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Heflin was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.