EDWARD SUPINSKI MD
NPI 1700854833
Internal Medicine in Port Orange, FL
About Edward Supinski Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD SUPINSKI MD (NPI 1700854833) is an individual internal medicine provider in Port Orange, Florida, licensed in Florida (ME 80671) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and is a graduate of Temple University School Of Medicine (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Edward Supinski 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.
Medicare Billing Reassignments
2Medicare enrollment records show Edward Supinski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange Park, FL 32073
- Reassigned Medicare billing, Florida enrollment
- 903 clinicians in this Medicare group
Miami, FL 33126
- Reassigned Medicare billing, Florida enrollment
- 535 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Daytona Beach
Acute Care Hospitals · Daytona Beach, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32129 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT ORANGE, FL 32129
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 Edward Supinski's NPI number?
The NPI number for Edward Supinski is 1700854833. It was assigned to this individual provider in the NPPES registry on March 14, 2006.
Where is Edward Supinski located?
Edward Supinski practices at 3691 Clyde Morris Blvd, Port Orange, FL 32129. The listed phone number is (386) 675-4411.
What is Edward Supinski's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Edward Supinski enrolled in Medicare?
Yes. Edward Supinski 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 Edward Supinski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Supinski reassigns Medicare benefits to 2 organizations: Inpatient Consultants Of Florida, Inc (Orange Park, FL) and Conviva Medical Center Management LLC (Miami, 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 Edward Supinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Edward Supinski affiliated with any hospitals?
According to CMS data, Edward Supinski is affiliated with Adventhealth Daytona Beach.
When was this NPI record last updated?
The NPPES record for Edward Supinski was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Edward Supinski, MD · NPI 1700854833
Internal Medicine physician in Port Orange, Florida. Individual provider, active in the CMS NPPES registry since March 14, 2006.
## Identity
- **NPI:** 1700854833 (Entity type: Individual)
- **Enumerated:** March 14, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** ME 80671 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3691 CLYDE MORRIS BLVD, Port Orange, FL 32129-2317
- **Phone:** (386) 675-4411 · **Fax:** (866) 542-5859
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Inpatient Consultants Of Florida, Inc (NPI 1396795597, Orange Park, FL); Conviva Medical Center Management LLC (NPI 1649324278, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 1991
## Record status
- **NPPES last updated:** February 17, 2026
- **Other identifiers:** Other 35630 (FL); Medicaid 259199500 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1700854833) · Data from the CMS NPPES public registry.