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PETER SETH EDELSTEIN MD
NPI 1912426115
Surgery in Sanford, FL

Active since September 19, 2017PECOS EnrolledAccepts Medicare Assignment
94.45/100
CMS Quality Rating
305 N MANGOUSTINE AVE STE 100, SANFORD, FL 32771(321) 283-2100 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Oct 22, 2021, Apr 19, 2021 and 5 more (8 updates tracked since 2017).

About Peter Seth Edelstein Md NPPES

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

PETER SETH EDELSTEIN MD (NPI 1912426115) is an individual surgery provider in Sanford, Florida, licensed in Florida (ME137854) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, and maintains a secondary practice location in Sanford.

NPPES Registry Identity

NPI1912426115
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePETER SETH EDELSTEINCredential: MD
Location Address305 N MANGOUSTINE AVE STE 100Sanford, FL 32771-1004
Mailing Address1347 Elysium BlvdMount Dora, FL 32757-7027 · (352) 459-2552
Phone(321) 283-2100
Sole ProprietorYes
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1987
Enumeration DateSeptember 19, 2017
Last NPPES UpdateJuly 21, 20228 updates tracked since enumeration
NPPES CertifiedOctober 22, 2021
✔ NPI 1912426115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in FL · ME137854✔ Licensed in CA · G065141
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
305 N MANGOUSTINE AVE STE 100, Sanford, FL 32771
Open in Google Maps ↗

Secondary Practice Location 1

Location 11718 Lexington Green LnSanford, FL 32771-1018 · Phone (352) 459-2552

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and more.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

Peter Seth Edelstein 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 ID7012117690
PECOS Enrollment IDI20250819003190
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.

Hospital Affiliations CMS Care Compare

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

Southeastern Regional Medical Center

Acute Care Hospitals · Lumberton, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340050
Location300 W 27 St PO Box 1408Lumberton, NC 28359 · Robeson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32771 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
$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.

94.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89
Promoting Interoperability92.91
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

DR. ROY S HWANG M.D.
Neurological Surgery
305 N MANGOUSTINE AVE STE 100
SANFORD, FL 32771
Seminole County (407) 833-7505
OSCEOLA SURGICAL ASSOCIATES LLC
Surgery
305 N MANGOUSTINE AVE STE 100
SANFORD, FL 32771
Seminole County (321) 283-2100
DEBRA JO LYNNE LEWIS APRN
Nurse Practitioner
305 N MANGOUSTINE AVE STE 100
SANFORD, FL 32771
Seminole County (321) 283-2100
REBECKA D EWBANK PA-C
Physician Assistant
305 N MANGOUSTINE AVE STE 100
SANFORD, FL 32771
Seminole County (407) 323-7821
DR. MATTHEW V. BURRY M.D.
Neurological Surgery
305 N MANGOUSTINE AVE STE 100
SANFORD, FL 32771
Seminole County (407) 833-7505

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 Peter Edelstein's NPI number?

The NPI number for Peter Edelstein is 1912426115. It was assigned to this individual provider in the NPPES registry on September 19, 2017.

Where is Peter Edelstein located?

Peter Edelstein practices at 305 N Mangoustine Ave Ste 100, Sanford, FL 32771. The listed phone number is (321) 283-2100.

What is Peter Edelstein's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Peter Edelstein enrolled in Medicare?

Yes. Peter Edelstein 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 Peter Edelstein accept?

Health plans from AvMed, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Mountain Health CO-OP and Providence Health Plan list Peter Edelstein 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 Peter Edelstein affiliated with any hospitals?

According to CMS data, Peter Edelstein is affiliated with Southeastern Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Edelstein was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.