Active NPI 1700854833 Individual Practitioner Female Practitioner

Dr. Edward Supinski , MD

Internal Medicine • Port Orange, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edward Supinski, MD is a certified Internal Medicine practicing in Port Orange, FL. With approximately 35 years of clinical experience since graduating from Temple University School Of Medicine in 1991, Dr. Supinski delivers high-quality medical care to the local community at 3691 CLYDE MORRIS BLVD.

Dr. Supinski is affiliated with Conviva Medical Center Management, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3691 Clyde Morris Blvd

Port Orange, FL 321292317

Telephone 3866754411

Fax 8665425859

Associated Practice Facility / Clinic

🏢 Metcare Of Florida, Inc Facility NPI 1902893225

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Port Orange, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +4.6 yrs vs City Avg

City Avg: 30.4 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

18 Specialists

Practicing in Port Orange, FL (10650 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Supinski (35 Years) 35 Yrs

Port Orange Specialty Average (30.4 Years) 30.4 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	65	35	$220.00	$124.77
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	39	27	$35.00	$16.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$285.67	$163.94
36415 Insertion of needle into vein for collection of blood sample	12	12	$15.00	$8.65

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	33	14	$220.24	$125.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$225.00	$125.73

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	33	17	$221.45	$126.54
G0442 Annual alcohol misuse screening, 5 to 15 minutes	19	19	$31.00	$18.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0031A Adm sarscov2 vac ad26 .5ml	60	60	$54.82	$33.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	17	$222.40	$129.70
99213 Established patient office or other outpatient visit, typically 15 minutes	21	14	$159.00	$91.32
0012A Adm sarscov2 100mcg/0.5ml2nd	19	19	$64.00	$38.88
0011A Adm sarscov2 100mcg/0.5ml1st	18	18	$64.00	$38.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	21	$126.00	$72.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	20	$186.00	$107.62

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	60	33	$186.00	$107.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	32	$294.09	$104.36
99213 Established patient office or other outpatient visit, typically 15 minutes	34	24	$126.00	$73.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	16	$205.44	$73.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$572.62	$203.11

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	93	40	$185.80	$106.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	71	49	$280.92	$104.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	25	$193.35	$73.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$549.79	$204.31
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$126.00	$72.36
99239 Hospital discharge day management, more than 30 minutes	12	12	$287.50	$107.82

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	64	34	$223.22	$106.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	32	$184.35	$69.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	35	$268.65	$101.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$527.10	$196.87
99239 Hospital discharge day management, more than 30 minutes	17	17	$278.24	$103.78

Medical Specialties & State Licenses

CMS Verified: 2026-02-17

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME 80671

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

259199500 (FL)

Commercial Insurance / Payer ID Bcbs

35630 (FL)

Hospital & Practice Group Affiliations

Conviva Medical Center Management, Llc

3691 S Clyde Morris Blvd, Port Orange, FL 321292317

Phone: 3866754411

Conviva Medical Center Management, Llc

5238 -16 Norwood Ave, Jacksonville, FL 322085005

Phone: 9048611222

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Denise Jacks , ARNP

Nurse Practitioner - Adult Health

NPI 1104136738

Advanced Registered Nurse Practitioner

Dr. Pradyumansinh Chudasama , MD

Internal Medicine

NPI 1306827027

Doctor of Medicine (M.D.)

Grace Pedersen , ARNP

Nurse Practitioner - Family

NPI 1528385176

Advanced Registered Nurse Practitioner

Dr. Coretta Murphy , MD

Internal Medicine

NPI 1548373145

Doctor of Medicine (M.D.)

Maria Roque , ARNP

Nurse Practitioner - Family

NPI 1730452103

Advanced Registered Nurse Practitioner

Dr. Do Hwang , MD

Family Medicine

NPI 1750556817

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location January 16, 2025

Registered at 3691 CLYDE MORRIS BLVD, PORT ORANGE, FL 321292317 (Tel: 3866754411)

📍

Updated Business Mailing Address June 30, 2023

Registered at 6101 BLUE LAGOON DR STE 200, MIAMI, FL 331263168

📍

Updated Practice Location September 28, 2020

Registered at 3641 CLYDE MORRIS BLVD STE 100, PORT ORANGE, FL 321292357 (Tel: 3866754410)

📍

Updated Business Mailing Address January 23, 2019

Registered at 6101 BLUE LAGOON DR STE 400, MIAMI, FL 331262051

✅

NPI Profile Active September 30, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2013

Registered at 937 SPRING GARDEN AVE, DELAND, FL 32720 (Tel: 3867361948)

📍

Updated Business Mailing Address September 30, 2013

Registered at PO BOX 9671, DAYTONA BEACH, FL 321209671 (Tel: 3866767130)

👤

Provider Name / Credentials Updated September 30, 2013

Recorded as EDWARD SUPINSKI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2013

Internal Medicine (License #ME 80671 in FL)

🟢

Initial NPI Registration & Enumeration March 14, 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: 1700854833

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 14, 2006

Last Update: February 17, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6101 Blue Lagoon Dr Ste 200

Miami, FL 331263168

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.