SUSAN HOWARD CULVERHOUSE M.D.
NPI 1790979813
Internal Medicine in Port St Joe, FL

Active since August 31, 2007PECOS EnrolledAccepts Medicare Assignment
3801 E HIGHWAY 98, PORT ST JOE, FL 32456(850) 932-3426 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Howard Culverhouse M.d. NPPES

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

SUSAN HOWARD CULVERHOUSE M.D. (NPI 1790979813) is an individual internal medicine provider in Port St Joe, Florida, licensed in Florida (ME107608) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension Sacred Heart Bay, and is a graduate of University Of South Florida College Of Medicine (2006).

NPPES Registry Identity

NPI1790979813
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUSAN HOWARD CULVERHOUSECredential: M.D.
Location Address3801 E HIGHWAY 98Port St Joe, FL 32456-5318
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2006
Enumeration DateAugust 31, 2007
Last NPPES UpdateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
NPI 1790979813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME107608
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.
3801 E HIGHWAY 98, Port St Joe, FL 32456

Other Identifiers 1

Other12145140Caqh

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan Howard Culverhouse 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 ID648462978
PECOS Enrollment IDI20101005001098
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
360 services148 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
141 services138 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
99 services58 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100026
Location615 N Bonita AvePanama City, FL 32401 · Bay County
Emergency services

Ascension Sacred Heart Gulf

Acute Care Hospitals · Port Saint Joe, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100313
Location3801 E Hwy 98Port Saint Joe, FL 32456 · Gulf County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32456 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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
86%177 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers25 claims25 services$17.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$93.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

General Acute Care Hospital (Rural)
3801 E HIGHWAY 98
PORT ST JOE, FL 32456
Physical Therapist
3801 E HIGHWAY 98
PORT ST JOE, FL 32456
Emergency Medicine
3801 E HIGHWAY 98, ER
PORT ST JOE, FL 32456
Pharmacist
3801 E HIGHWAY 98
PORT ST JOE, FL 32456
Emergency Medicine
3801 E HIGHWAY 98
PORT ST JOE, FL 32456
Physical Therapist
3801 E HIGHWAY 98
PORT ST JOE, FL 32456
Emergency Medicine
3801 E HIGHWAY 98
PORT ST JOE, FL 32456
Emergency Medicine
3801 E HIGHWAY 98, ER
PORT ST JOE, FL 32456

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 Susan Culverhouse's NPI number?

The NPI number for Susan Culverhouse is 1790979813. It was assigned to this individual provider in the NPPES registry on August 31, 2007.

Where is Susan Culverhouse located?

Susan Culverhouse practices at 3801 E Highway 98, Port St Joe, FL 32456. The listed phone number is (850) 932-3426.

What is Susan Culverhouse's specialty?

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

Is Susan Culverhouse enrolled in Medicare?

Yes. Susan Culverhouse 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.

What insurance does Susan Culverhouse accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Susan Culverhouse 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.

Is Susan Culverhouse affiliated with any hospitals?

According to CMS data, Susan Culverhouse is affiliated with Ascension Sacred Heart Bay and Ascension Sacred Heart Gulf.

When was this NPI record last updated?

The NPPES record for Susan Culverhouse was last updated on October 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.