ELEONORA HACKMAN-KERBYSON MD
NPI 1720020852
Internal Medicine in Port Charlotte, FL
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
Specialties & Licenses 2
Other Names 1
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eleonora Hackman-kerbyson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Eleonora Hackman-kerbyson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Franklin, LA 70538
- Reassigned Medicare billing, Louisiana enrollment
- 42 clinicians in this Medicare group
New Iberia, LA 70560
- Reassigned Medicare billing, Louisiana enrollment
- 89 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 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.
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.
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.
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.
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.
Which organizations bill Medicare for Eleonora Hackman-kerbyson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eleonora Hackman-kerbyson reassigns Medicare benefits to 2 organizations: Teche Emergency Group LLC (Franklin, LA) and Main Street Emergency Group LLC (New Iberia, LA). 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 Eleonora Hackman-kerbyson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.
# Eleonora Hackman-Kerbyson, MD · NPI 1720020852
Internal Medicine physician in Port Charlotte, Florida. Individual provider, active in the CMS NPPES registry since June 12, 2006.
## Identity
- **NPI:** 1720020852 (Entity type: Individual)
- **Enumerated:** June 12, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** ME104987 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 2450 TAMIAMI TRL, STE A, Port Charlotte, FL 33952-3922
- **Phone:** (941) 624-2704 · **Fax:** (941) 627-6066
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Teche Emergency Group LLC (NPI 1356658884, Franklin, LA); Main Street Emergency Group LLC (NPI 1750796041, New Iberia, LA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Other P00145175 (MO); Other 124884 (MO); Other 947071631 (MO); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1720020852) · Data from the CMS NPPES public registry.