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ANDY SOMESAN MD
NPI 1801871835
Internal Medicine - Geriatric Medicine in Pensacola, FL

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment
1000 W MORENO ST, PENSACOLA, FL 32501(850) 469-7406(850) 437-8283 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andy Somesan Md NPPES

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

ANDY SOMESAN MD (NPI 1801871835) is an individual geriatric medicine provider in Pensacola, Florida, licensed in Florida (ME0079362) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and maintains a secondary practice location in Pensacola.

NPPES Registry Identity

NPI1801871835
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameANDY SOMESANCredential: MD
Location Address1000 W MORENO STPensacola, FL 32501
Mailing AddressPo Box 17567Pensacola, FL 32522-7567 · (850) 469-7406 · Fax (850) 437-8283
Phone(850) 469-7406
Fax(850) 437-8283
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateDecember 13, 2005
Last NPPES UpdateSeptember 13, 2021
NPPES CertifiedSeptember 13, 2021
✔ NPI 1801871835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Licenses✔ Licensed in FL · ME0079362✔ Licensed in AL · 18847
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedHospitalistTaxonomy 208M00000X · License ME79362 (FL)
1000 W MORENO ST, Pensacola, FL 32501
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Other Names 1

Former Name (1)Andy K Somesan Md

Secondary Practice Location 1

Location 15149 N 9th Ave, Ste 254Pensacola, FL 32504-6050 · Phone (850) 416-7619 · Fax (850) 416-7753

Other Identifiers 1

Medicaid258344500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Andy Somesan Md 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 ID5496659674
PECOS Enrollment IDI20050531000028
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 Reassignments

3

Medicare enrollment records show Andy Somesan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pensacola Hospitalist Physicians, LLC
2.5 mi
Hospitalist
123 BAPTIST WAY
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 150 clinicians in this Medicare group
NPI 1487254140 (850) 434-4011
Baptist Physician Associates LLC
23 mi
Urgent Care
8888 NAVARRE PKWY STE 106
Navarre, FL 32566
  • Reassigned Medicare billing, Florida enrollment
  • 69 clinicians in this Medicare group
NPI 1235128646 (850) 908-8888
Floridian Hospitalist Services, LLC
45 mi
Hospitalist
151 E REDSTONE AVE
Crestview, FL 32539
  • Reassigned Medicare billing, Florida enrollment
  • 82 clinicians in this Medicare group
NPI 1881049997 (850) 689-8100

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 5

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 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.
398 services188 patients
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.
240 services96 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.
196 services188 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.
82 services80 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100266
Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County
Emergency services

Jay Hospital

Critical Access Hospitals · Jay, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101315
Location14114 Alabama StJay, FL 32565 · Santa Rosa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32501 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
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…
32%121 patients2/55-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 suppliers31 claims31 services$17.06 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
3 suppliers38 claims38 services$82.35 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 20

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

AMY FARRO DPT
Physical Therapist
1000 W MORENO ST
PENSACOLA, FL 32501
Escambia County (850) 434-4920
DANA ANN WILLIAMS PHARMD
Pharmacist
1000 W MORENO ST
PENSACOLA, FL 32501
Escambia County (228) 369-2508
KINDLE PAGE CCC-SLP
Speech-Language Pathologist
1000 W MORENO ST, PHYSICAL THERAPY
PENSACOLA, FL 32501
Escambia County (850) 434-4971
DR. RAHUL DUNDAPPA PATIL M.D.
Hospitalist
1000 W MORENO ST
PENSACOLA, FL 32501
Escambia County (850) 469-7406
MELISSA GRACE TRIPLETT
Physical Medicine & Rehabilitation
1000 W MORENO ST
PENSACOLA, FL 32501
Escambia County (850) 437-5500
FREDERICK R SEELMANN
Pharmacist (Pharmacotherapy)
1000 W MORENO ST
PENSACOLA, FL 32501
Escambia County (850) 469-7567
TRICIA M HELTON CRNA
Nurse Anesthetist, Certified Registered
1000 W MORENO ST
PENSACOLA, FL 32501
Escambia County (850) 437-8390
MRS. JANICE ZHANG CRNA
Nurse Anesthetist, Certified Registered
1000 W MORENO ST
PENSACOLA, FL 32501
Escambia County (850) 525-2688

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 Andy Somesan's NPI number?

The NPI number for Andy Somesan is 1801871835. It was assigned to this individual provider in the NPPES registry on December 13, 2005. The provider is also known as Andy K Somesan MD.

Where is Andy Somesan located?

Andy Somesan practices at 1000 W Moreno St, Pensacola, FL 32501. The listed phone number is (850) 469-7406.

What is Andy Somesan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Andy Somesan enrolled in Medicare?

Yes. Andy Somesan 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 organizations bill Medicare for Andy Somesan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andy Somesan reassigns Medicare benefits to 3 organizations: Pensacola Hospitalist Physicians, LLC (Pensacola, FL), Baptist Physician Associates LLC (Navarre, FL) and Floridian Hospitalist Services, LLC (Crestview, FL). 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 Andy Somesan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andy Somesan accept?

Health plans from Blue Cross and Blue Shield of Alabama list Andy Somesan 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 Andy Somesan affiliated with any hospitals?

According to CMS data, Andy Somesan is affiliated with Baptist Hospital, Gulf Breeze Hospital and Jay Hospital.

When was this NPI record last updated?

The NPPES record for Andy Somesan was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.