Blerina Begolli, M.D.
NPI 1831253061 · Surgery Physician · Panama City, FL
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blerina Begolli, M.D. is a Surgery Physician provider in Panama City, FL (NPI 1831253061).
Provider details
- NPI number
- 1831253061
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- TRN4821 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
245 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 64 | $77 |
| Critical Care, First 30-74 Minutes99291 | 58 | $216 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 57 | $49 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 27 | $132 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 27 | $81 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$20 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2020-05-07
- Certified
- 2020-05-07
Frequently asked questions
- What is Blerina Begolli's NPI number?
- Blerina Begolli's National Provider Identifier (NPI) is 1831253061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blerina Begolli's specialty?
- Blerina Begolli is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Blerina Begolli located?
- Blerina Begolli's practice location on file with NPPES is 619 N Cove Blvd, Panama City, FL 32401-3642.
- What is Blerina Begolli's phone number?
- The practice phone number listed in the NPPES registry for Blerina Begolli is (850) 913-6960.
- Does Blerina Begolli accept Medicare?
- Blerina Begolli is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Blerina Begolli's NPI active?
- Yes — Blerina Begolli's NPI (1831253061) is active in the NPPES registry as of the last update on 2020-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.