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ELEONORA HACKMAN-KERBYSON MD
NPI 1720020852
Internal Medicine in Port Charlotte, FL

Active since June 12, 2006PECOS Enrolled
81.89/100
CMS Quality Rating
2450 TAMIAMI TRL, STE A, PORT CHARLOTTE, FL 33952(941) 624-2704(941) 627-6066 Get Directions Write a Review

NPPES record last updated: February 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eleonora Hackman-kerbyson Md NPPES

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

ELEONORA HACKMAN-KERBYSON MD (NPI 1720020852) is an individual internal medicine provider in Port Charlotte, Florida, licensed in Florida (ME104987) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720020852
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameELEONORA HACKMAN-KERBYSONCredential: MD
Location Address2450 TAMIAMI TRL, STE APort Charlotte, FL 33952-3922
Mailing Address3434 Hancock Bridge Pkwy, Ste 301N Fort Myers, FL 33903-7094 · (877) 856-3774 · Fax (239) 599-2625
Phone(941) 624-2704
Fax(941) 627-6066
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateFebruary 20, 2014
✔ NPI 1720020852 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 · ME104987
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 ListedEmergency MedicineTaxonomy 207P00000X · License 2003014738 (MO), 036-110911 (IL)
2450 TAMIAMI TRL, Port Charlotte, FL 33952
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Other Names 1

Professional Name (2)Eleonora Hackman Md

Other Identifiers 11

Medicare PIN919451631MO
Other426403MO · Healthlink
Medicare UPINH9079MO
Medicaid036110911IL
Medicare PIN905254748MO
Medicaid208440818MO
Other124884MO · Blue Cross
Other947071631MO · Mercy Health
OtherP00145175MO · Railroad Medicare
Medicare PIN214881018IL
Medicare PINCL509WFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eleonora Hackman-kerbyson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
51 services50 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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.

81.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.31
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

EBRAHIM PAPAN M.D.
Internal Medicine
2450 TAMIAMI TRL, STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 624-2704
BRIAN J KERBYSON D.O.
General Practice
2450 TAMIAMI TRL, SUITE A
PT CHARLOTTE, FL 33952
Charlotte County (941) 627-7204
DOUGLAS GLENN HENRICKS M.D.
Internal Medicine
2450 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Charlotte County (941) 624-2704
DONALD E KENNEDY DO
Family Medicine
2450 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Charlotte County (941) 624-2704
MS. VENDA KELLEY ARNP
Nurse Practitioner (Family)
2450 TAMIAMI TRL, STE A
PORT CHARLOTTE, FL 33952
Charlotte County (877) 856-3774

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 Eleonora Hackman-kerbyson's NPI number?

The NPI number for Eleonora Hackman-kerbyson is 1720020852. It was assigned to this individual provider in the NPPES registry on June 12, 2006. The provider is also known as Eleonora Hackman MD.

Where is Eleonora Hackman-kerbyson located?

Eleonora Hackman-kerbyson practices at 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952. The listed phone number is (941) 624-2704.

What is Eleonora Hackman-kerbyson's specialty?

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

Is Eleonora Hackman-kerbyson enrolled in Medicare?

Yes. Eleonora Hackman-kerbyson is registered in the Medicare PECOS enrollment system.

What insurance does Eleonora Hackman-kerbyson accept?

Health plans from CHRISTUS Health Plan list Eleonora Hackman-kerbyson 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 Eleonora Hackman-kerbyson was last updated on February 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.