DR. ERICA HORSTMAN DO
NPI 1801177563
Family Medicine in Seminole, FL

Active since September 07, 2011PECOS EnrolledAccepts Medicare Assignment
13020 PARK BLVD, SEMINOLE, FL 33776(727) 393-4304 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2018, Dec 13, 2016, Feb 29, 2016 (3 updates tracked since 2016).

About Dr. Erica Horstman Do NPPES

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

DR. ERICA HORSTMAN DO (NPI 1801177563) is an individual family medicine provider in Seminole, Florida, licensed in Florida (OS 11820) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Morton Plant Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1801177563
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ERICA HORSTMANCredential: DO
Location Address13020 PARK BLVDSeminole, FL 33776
Mailing Address13020 Park BlvdSeminole, FL 33776-3639 · (727) 393-4304
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2010
Enumeration DateSeptember 7, 2011
Last NPPES UpdateJuly 6, 20183 updates tracked since enumeration
NPI 1801177563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · OS 11820
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13020 PARK BLVD, Seminole, FL 33776

Other Identifiers 2

Medicaid009141300FL
Other12567899Caqh

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

Dr. Erica Horstman Do 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 ID7416190343
PECOS Enrollment IDI20130826000359
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
162 services85 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
54 services54 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
48 services48 patients

Hospital Affiliations CMS Care Compare

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

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33776 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%59 patients5/55-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 6

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

General Practice
13020 PARK BLVD
SEMINOLE, FL 33776
Physician Assistant
13020 PARK BLVD
SEMINOLE, FL 33776
General Practice
13020 PARK BLVD
SEMINOLE, FL 33776
Internal Medicine
13020 PARK BLVD, OAKHURST MEDICAL CLINIC
SEMINOLE, FL 33776
Family Medicine
13020 PARK BLVD
SEMINOLE, FL 33776
General Practice
13020 PARK BLVD, OAKHURST MEDICAL CLINIC
SEMINOLE, FL 33776

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 Erica Horstman's NPI number?

The NPI number for Erica Horstman is 1801177563. It was assigned to this individual provider in the NPPES registry on September 7, 2011.

Where is Erica Horstman located?

Erica Horstman practices at 13020 Park Blvd, Seminole, FL 33776. The listed phone number is (727) 393-4304.

What is Erica Horstman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Erica Horstman enrolled in Medicare?

Yes. Erica Horstman 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 Erica Horstman accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Erica Horstman 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 Erica Horstman affiliated with any hospitals?

According to CMS data, Erica Horstman is affiliated with Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Erica Horstman was last updated on July 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.