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DR. ERIC ORDINARIO D.O.
NPI 1871545301
Urology in Lake City, FL

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
4601 W US HIGHWAY 90, LAKE CITY, FL 32055(386) 752-4189(386) 752-4213 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Eric Ordinario D.o. NPPES

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

DR. ERIC ORDINARIO D.O. (NPI 1871545301) is an individual urology provider in Lake City, Florida, licensed in Florida (OS7652) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center Beaches, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1871545301
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. ERIC ORDINARIOCredential: D.O.
Location Address4601 W US HIGHWAY 90Lake City, FL 32055-4880
Mailing Address4601 W Us Highway 90Lake City, FL 32055-4880 · (386) 752-4189 · Fax (386) 752-4213
Phone(386) 752-4189
Fax(386) 752-4213
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateMay 16, 2006
Last NPPES UpdateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
✔ NPI 1871545301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · OS7652
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4601 W US HIGHWAY 90, Lake City, FL 32055
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Other Identifiers 1

Medicaid256141700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Dr. Eric Ordinario D.o. 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 ID42360901
PECOS Enrollment IDI20090615000625, I20200217004100
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

4

Medicare enrollment records show Eric Ordinario reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake City Cancer Care LLC
0.2 mi
Hematology & Oncology
289 SW STONEGATE TER, SUITE 103
Lake City, FL 32024
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1396132213 (386) 755-1655
Ackerman Cancer Center, PA
51 mi
Urology
3839 COUNTY ROAD 218
Middleburg, FL 32068
  • Reassigned Medicare billing, Florida enrollment
  • 20 clinicians in this Medicare group
NPI 1265111629 (904) 490-7400
Wellstar Medical Group, LLC
262 mi
Internal Medicine
3885 PRINCETON LAKES WAY SW, SUITE 300
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1205267192 (404) 344-0059
Floyd Healthcare Management Inc
314 mi
General Acute Care Hospital
304 TURNER MCCALL BLVD SW
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Floyd Physicians LLC
  • 185 clinicians in this Medicare group
NPI 1154377166 (706) 509-5000

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 11

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
422 services263 patients
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.
249 services182 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
247 services179 patients
Limited ultrasound scan of pelvis 76857
A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.
241 services162 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
98 services98 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
66 services56 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Ed Fraser Memorial Hospital

Acute Care Hospitals · Macclenny, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100134
Location159 N 3rd StMacclenny, FL 32063 · Baker County
Emergency services

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110054
Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32055 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
99%451 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

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers13 claims2,430 services$1.75 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 2

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

UROLOGY MEDICAL INC.
Urology
4601 W US HIGHWAY 90
LAKE CITY, FL 32055
Columbia County (386) 752-4189
DR. ROBERT GEORGE BUSCH D.O.
Urology
4601 W US HIGHWAY 90
LAKE CITY, FL 32055
Columbia County (386) 752-4189

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 Eric Ordinario's NPI number?

The NPI number for Eric Ordinario is 1871545301. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Eric Ordinario located?

Eric Ordinario practices at 4601 W Us Highway 90, Lake City, FL 32055. The listed phone number is (386) 752-4189.

What is Eric Ordinario's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Eric Ordinario enrolled in Medicare?

Yes. Eric Ordinario 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 Eric Ordinario's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Ordinario reassigns Medicare benefits to 4 organizations: Lake City Cancer Care LLC (Lake City, FL), Ackerman Cancer Center, PA (Middleburg, FL), Wellstar Medical Group, LLC (Atlanta, GA) and Floyd Healthcare Management Inc (Rome, GA). 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 Eric Ordinario's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Ordinario accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Eric Ordinario 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 Eric Ordinario affiliated with any hospitals?

According to CMS data, Eric Ordinario is affiliated with Baptist Medical Center Beaches, Ed Fraser Memorial Hospital, Ascension St Vincent's Southside, Ascension St Vincent's Clay County and Atrium Health Floyd Medical Center.

When was this NPI record last updated?

The NPPES record for Eric Ordinario was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.