HOUSAM MOURSI (DO) – Emergency Medicine Physician, NPI 1255308599
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for HOUSAM MOURSI (DO)
Winter Haven Hospital, 200, Avenue F Northeast, Winter Haven, Polk County, Florida, 33881, United States
WINTER HAVEN, FL 338814131
Phone: (863) 293-1121
Type: Location
PO BOX 44008
PROVIDER ENROLLMENT
JACKSONVILLE, FL 322314008
Phone: (904) 244-3660
Fax: (904) 244-3425
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $172.
Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).
Total Amount
$172
General + Research + Ownership
Payments
3
Total payment records
General Amount
$172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $125 |
| Abbott Laboratories | $47 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031205000211 | I | Emergency Medicine | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 95 | 93 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 45 | 41 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 28 | 27 | $0 |
| 99291 | Critical care, first 30-74 minutes | 20 | 20 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 13 | 13 | $0 |
Insurance plans in this area (ZIP 33881)
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Provider's Procedures
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