SAMUEL GUBERNICK (D.O.) – Allergy & Immunology Physician, NPI 1518916972

SAMUEL GUBERNICK (D.O.) is a healthcare provider. based in Largo, Florida. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials D.O.. They hold a License No. OS5550 (FL). The NPI Number for SAMUEL GUBERNICK (D.O.) is 1518916972

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL GUBERNICK (D.O.)
NPI
1518916972
Phone
(727) 530-0700
Address
13145 66TH ST N
Enumeration Date
10 May 2006
Last Update Date
8 July 2019

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
7275300700
Graduation Year
1987 (39 years ago)
PAC ID
3577660869
Group Practice PAC ID
6002993268
Professional Enrollment ID
I20070522000094
Address ID
FL337731812LA13145NXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

274 ALLERGY/IMMUNOLOGY in FL

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Provider Addresses for SAMUEL GUBERNICK (D.O.)

  • 13145, 66th Street North, Largo, Pinellas County, Florida, 33773, United States

    LARGO, FL 33773

    Phone: (727) 530-0700

    Fax: (727) 530-0777

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-05-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070522000094IAllergy/ImmunologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2817$0
96160Administration and interpretation of patient-focused health risk assessment2112$0
94060Test to measure expiratory airflow and volume changes before and after medication administration1311$0
View full utilization report →

Insurance plans in this area (ZIP 33773)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002993268View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YMO
A L L E R G Y/ I M M U N O L O G YFL

Reviews

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Frequently asked questions

How is SAMUEL GUBERNICK (D.O.) identified in CMS data?
CMS-hosted NPPES data lists SAMUEL GUBERNICK (D.O.) with NPI 1518916972.
Can I rely on SAMUEL GUBERNICK (D.O.) being an active provider?
As of the registry snapshot, SAMUEL GUBERNICK (D.O.) is marked active.
What is SAMUEL GUBERNICK (D.O.) best known for clinically?
Directory data describes SAMUEL GUBERNICK (D.O.) with Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SAMUEL GUBERNICK (D.O.)?
SAMUEL GUBERNICK (D.O.)'s geographic hint is Largo, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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