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ESSAM KAZMOUZ M.D.
NPI 1851551162
Pathology - Anatomic Pathology & Clinical Pathology in Fort Myers, FL

Active since June 10, 2008PECOS EnrolledAccepts Medicare Assignment
88.55/100
CMS Quality Rating
11187 SAND PINE CT, FORT MYERS, FL 33913(239) 233-5029 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Essam Kazmouz M.d. NPPES

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

ESSAM KAZMOUZ M.D. (NPI 1851551162) is an individual anatomic pathology & clinical pathology provider in Fort Myers, Florida, licensed in Florida (ME100969) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1851551162
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameESSAM KAZMOUZCredential: M.D.
Location Address11187 SAND PINE CTFort Myers, FL 33913-8813
Mailing Address1500 Lee BlvdLehigh Acres, FL 33936-4835 · (813) 562-9744
Phone(239) 233-5029
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 10, 2008
Last NPPES UpdateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
✔ NPI 1851551162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in FL · ME100969✔ Licensed in AZ · 37970
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
11187 SAND PINE CT, Fort Myers, FL 33913
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Secondary Practice Location 1

Location 1424 S 56th St Ste 110Phoenix, AZ 85034-2177 · Phone (480) 478-8057 · Fax (480) 478-8095

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Plan, Inc., Oscar Insurance Company.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

Essam Kazmouz 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 ID1456411099
PECOS Enrollment IDI20230131002537
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 10

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
879 services447 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
184 services161 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
119 services33 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
82 services76 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
73 services46 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
73 services68 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33913 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

88.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.53
Improvement Activities40

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 Essam Kazmouz's NPI number?

The NPI number for Essam Kazmouz is 1851551162. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Where is Essam Kazmouz located?

Essam Kazmouz practices at 11187 Sand Pine Ct, Fort Myers, FL 33913. The listed phone number is (239) 233-5029.

What is Essam Kazmouz's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Essam Kazmouz enrolled in Medicare?

Yes. Essam Kazmouz 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 Essam Kazmouz accept?

Health plans from CareSource, Oscar Health Plan, Inc. and Oscar Insurance Company list Essam Kazmouz 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 Essam Kazmouz affiliated with any hospitals?

According to CMS data, Essam Kazmouz is affiliated with King's Daughters' Medical Center and Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Essam Kazmouz was last updated on March 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.