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HEATHER MARIE SAMUELSON M.D.
NPI 1710270426
Internal Medicine in Tampa, FL

Active since May 27, 2011PECOS EnrolledAccepts Medicare Assignment
302 W FLETCHER AVE, TAMPA, FL 33612(813) 272-6240 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Heather Marie Samuelson M.d. NPPES

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

HEATHER MARIE SAMUELSON M.D. (NPI 1710270426) is an individual internal medicine provider in Tampa, Florida, licensed in Florida (ME124557) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1710270426
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHEATHER MARIE SAMUELSONCredential: M.D.
Location Address302 W FLETCHER AVETampa, FL 33612
Mailing Address700 8th Ave W Ste 101Palmetto, FL 34221-4737 · (941) 776-4000
Phone(813) 272-6240
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 27, 2011
Last NPPES UpdateFebruary 17, 2020
✔ NPI 1710270426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME124557
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.
Also ListedPediatricsTaxonomy 208000000X · License ME124557 (FL)
302 W FLETCHER AVE, Tampa, FL 33612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.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

Heather Marie Samuelson 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 ID6709181191
PECOS Enrollment IDI20160411000793, I20191216000302
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 Heather Samuelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mcr Health, Inc.
34 mi
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
NPI 1255376000 (941) 776-4050

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 33612 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.

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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
48%340 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
40%559 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
10%256 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

MS. MARY BETH MCDERMOTT LCSW
Social Worker (Clinical)
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 397-5300
JESSICA LYNNE JENNINGS MD
Pediatrics
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 397-5305
NELSON VILLAR ARNP
Nurse Practitioner (Family)
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 866-0930
NATHANIEL MORELL GONZALEZ FNP-C
Nurse Practitioner (Family)
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 866-0930
DR. JULIO LARA D.D.S.
Dentist (General Practice)
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 397-5305
KATHERINE JOYCE FRANCO PA-C
Physician Assistant
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 866-0930
TAMPA FAMILY HEALTH CENTERS, INC
Clinic/Center (Community Health)
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 955-6447
MRS. GLORIA ORELLANA ARNP
Nurse Practitioner (Family)
302 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 866-0930

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 Heather Samuelson's NPI number?

The NPI number for Heather Samuelson is 1710270426. It was assigned to this individual provider in the NPPES registry on May 27, 2011.

Where is Heather Samuelson located?

Heather Samuelson practices at 302 W Fletcher Ave, Tampa, FL 33612. The listed phone number is (813) 272-6240.

What is Heather Samuelson's specialty?

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

Is Heather Samuelson enrolled in Medicare?

Yes. Heather Samuelson 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 organization bills Medicare for Heather Samuelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Samuelson reassigns Medicare benefits to Mcr Health, Inc. (Parrish, 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 Heather Samuelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Samuelson accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Heather Samuelson 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.

When was this NPI record last updated?

The NPPES record for Heather Samuelson was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.