Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255353595 Individual Practitioner Male Practitioner

Dr. Kevin J Desantis , MD

General Practice • Port Charlotte, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Desantis, MD is a certified General Practice practicing in Port Charlotte, FL. With approximately 39 years of clinical experience since graduating from New York Medical College in 1987, Dr. Desantis delivers high-quality medical care to the local community at 1912 KINGS HWY UNIT 700.

Dr. Desantis is affiliated with Millennium Physician Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1912 Kings Hwy Unit 700

Port Charlotte, FL 339804305

Telephone 9412550032
Fax 9413915213
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Port Charlotte, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
39 Yrs +5.7 yrs vs City Avg
City Avg: 33.3 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Port Charlotte, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Desantis (39 Years) 39 Yrs
Port Charlotte Specialty Average (33.3 Years) 33.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
354 301 $261.45 $127.24
99213 Established patient office or other outpatient visit, typically 15 minutes
165 160 $184.93 $89.55
J1100 Injection, dexamethasone sodium phosphate, 1 mg
88 11 $0.24 $0.12
81003 Automated urinalysis test
86 85 $4.50 $2.17
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
72 72 $97.95 $64.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
70 70 $343.79 $167.55
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
56 34 $33.62 $16.69
87804 Detection test by immunoassay with direct visual observation for influenza virus
30 15 $33.10 $16.22
36415 Insertion of needle into vein for collection of blood sample
26 17 $17.66 $8.65
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
26 26 $70.66 $33.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
23 23 $228.39 $110.33
80053 Blood test, comprehensive group of blood chemicals
22 20 $21.12 $10.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
20 18 $33.80 $14.07
80061 Blood test, lipids (cholesterol and triglycerides)
17 15 $26.78 $13.12
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
16 14 $15.54 $7.61
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older
13 13 $57.15 $27.46
90471 Administration of 1 vaccine
13 13 $41.26 $20.01
84443 Blood test, thyroid stimulating hormone (TSH)
11 11 $33.60 $16.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
11 11 $266.72 $132.00

Medical Specialties & State Licenses

CMS Verified: 2024-06-03
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME58093

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License FL ME58093

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
064805100 (FL)

Hospital & Practice Group Affiliations

Millennium Physician Group Llc

2343 Aaron St, Port Charlotte, FL 339525305

Phone: 9416292900

Millennium Physician Group Llc

19531 Cochran Blvd, Port Charlotte, FL 339482081

Phone: 9412553535

Millennium Physician Group Llc

3508 Tamiami Trl, Port Charlotte, FL 339528160

Phone: 9418833313

Millennium Physician Group Llc

150 W Mckenzie St, Punta Gorda, FL 339505500

Phone: 9416216476

Millennium Physician Group Llc

2335 Aaron St, Port Charlotte, FL 339525305

Phone: 9417877665

Millennium Physician Group Llc

2675 Winkler Ave, Fort Myers, FL 339019328

Millennium Physician Group Llc

13807 Tamiami Trl, North Port, FL 342872069

Phone: 9412571108

Millennium Physician Group Llc

13823 Tamiami Trl, North Port, FL 342872069

Phone: 9418880770

Millennium Physician Group Llc

13815 Tamiami Trl, North Port, FL 342872069

Phone: 9414264900

Millennium Physician Group Llc

1912 Kings Hwy, Port Charlotte, FL 339804305

Phone: 9412550032

Millennium Physician Group Llc

2675 Winkler Avenue, Fort Myers, FL 339019328

Millennium Physician Group Llc

1065 Tamiami Trl N, Nokomis, FL 342752144

Phone: 9414772364

Millennium Physician Group Llc

4130 Tamiami Trl, Port Charlotte, FL 339529207

Phone: 9417877100

Millennium Physician Group Llc

900 Pine St, Englewood, FL 342234458

Phone: 9415481708

Millennium Physician Group Llc

2315 Aaron St, Port Charlotte, FL 339525305

Phone: 9416132222

Secondary Practice Locations

2450 Tamiami Trl Ste A

Port Charlotte, FL 339523922

Phone: 9416242704

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 03, 2024

Registered at 1912 KINGS HWY UNIT 700, PORT CHARLOTTE, FL 339804305 (Tel: 9412550032)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2024

Emergency Medicine (License #ME58093 in FL)

📍
Updated Practice Location January 04, 2024

Registered at 2450 TAMIAMI TRL STE A, PORT CHARLOTTE, FL 339523922 (Tel: 9416242704)

📍
Updated Business Mailing Address January 04, 2024

Registered at 2675 WINKLER AVE FL 2, FORT MYERS, FL 339019342 (Tel: 8778563774)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2024

Emergency Medicine (License #ME58093 in FL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2500 HARBOR BLVD, PORT CHARLOTTE, FL 339525000 (Tel: 3056654614)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5901 SW 74TH ST, SUITE 202, MIAMI, FL 331435165 (Tel: 3056654614)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEVIN DESANTIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #ME58093 in FL)

🟢
Initial NPI Registration & Enumeration July 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255353595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2006
Last Update: June 03, 2024
Sole Proprietor: No

Mailing Address

2675 Winkler Ave Fl 2

Fort Myers, FL 339019342

Phone: 8778563774

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.