DR. USA KOPSOMBUT MD
NPI 1831509074
Hospitalist in Orlando, FL

Active since April 28, 2014PECOS EnrolledAccepts Medicare Assignment
13535 NEMOURS PKWY, ORLANDO, FL 32827(407) 567-4000 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 18, 2019, Mar 14, 2019 (2 updates tracked since 2019).

About Dr. Usa Kopsombut Md NPPES

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

DR. USA KOPSOMBUT MD (NPI 1831509074) is an individual hospitalist provider in Orlando, Florida, licensed in Florida (ME132865) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2013).

NPPES Registry Identity

NPI1831509074
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. USA KOPSOMBUTCredential: MD
Location Address13535 NEMOURS PKWYOrlando, FL 32827-7402
Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532 · (904) 697-4127 · Fax (904) 697-5102
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2013
Enumeration DateApril 28, 2014
Last NPPES UpdateMarch 18, 20192 updates tracked since enumeration
✔ NPI 1831509074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME132865
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
13535 NEMOURS PKWY, Orlando, FL 32827

Other Identifiers 1

Medicaid022356900FL

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

Dr. Usa Kopsombut 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 ID9739303223
PECOS Enrollment IDI20171115000167
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 Reassignment

Medicare enrollment records show Usa Kopsombut reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
10140 CENTURION PKWY N, THE NEMOURS FOUNDATION
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 703 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32827 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.

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.

Anesthesiology
13535 NEMOURS PKWY
ORLANDO, FL 32827
Pediatrics (Developmental - Behavioral Pediatrics)
13535 NEMOURS PKWY
ORLANDO, FL 32827
Pediatrics
13535 NEMOURS PKWY
ORLANDO, FL 32827
Nurse Anesthetist, Certified Registered
13535 NEMOURS PKWY
ORLANDO, FL 32827
Genetic Counselor, MS
13535 NEMOURS PKWY
ORLANDO, FL 32827
Pathology (Anatomic Pathology & Clinical Pathology)
13535 NEMOURS PKWY, NEMOURS CHILDRENS HOSPITAL
ORLANDO, FL 32827
Dietitian, Registered (Nutrition, Pediatric)
13535 NEMOURS PKWY
ORLANDO, FL 32827
Nurse Practitioner (Family)
13535 NEMOURS PKWY
ORLANDO, FL 32827

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 Usa Kopsombut's NPI number?

The NPI number for Usa Kopsombut is 1831509074. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Where is Usa Kopsombut located?

Usa Kopsombut practices at 13535 Nemours Pkwy, Orlando, FL 32827. The listed phone number is (407) 567-4000.

What is Usa Kopsombut's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Usa Kopsombut enrolled in Medicare?

Yes. Usa Kopsombut 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 organization bills Medicare for Usa Kopsombut's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Usa Kopsombut reassigns Medicare benefits to The Nemours Foundation (Jacksonville, FL). The 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 Usa Kopsombut's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Usa Kopsombut was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.