Doctor profile · Federal record

Dr. Anthony Ombogo, M.D.

Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Family Medicine Physician · Port Orange, FL

  • NPI 1417266024
  • Accepts Medicare
  • 19 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3911 S Nova RD
Port Orange, FL 321274910
(386) 756-7748
fax (386) 761-5449
Mailing address
303 N Clyde Morris Blvd
Daytona Beach, FL 321142709

Credentials & registration

NPPES · NUCC
NPI registered
September 2010 — 16 yrs on file
Profile last updated
June 11, 2021
Year of graduation
2007 — 19 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State licenses (3)
Florida #ME108702 · Florida #TRN12964 · Georgia #66728
Medicaid
GA #003112054A

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1417266024. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
296
Distinct HCPCS
3
Medicare allowed
$43,302
HCPCS Description Services Patients Avg allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 192 189 $172
99497 Advance care planning, first 30 minutes 55 55 $75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 49 49 $128

In context: peer comparison

Among 14 peers in Port Orange Family Medicine Physician, average services per provider: 317. This provider delivers 0.9× the peer median.

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Anthony Ombogo's medical specialty?
Dr. Anthony Ombogo practices Family Medicine Physician in Port Orange, FL.
Where does Dr. Anthony Ombogo practice?
Dr. Anthony Ombogo practices at 3911 S Nova RD, Port Orange, FL 321274910. Office phone: 3867567748.
What is Dr. Anthony Ombogo's NPI?
Dr. Anthony Ombogo's National Provider Identifier (NPI) is 1417266024, issued by NPPES.
Does Dr. Anthony Ombogo accept Medicare assignment?
Yes. Dr. Anthony Ombogo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Anthony Ombogo commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with moderate level of medical decision making (HCPCS 99223); Advance care planning (HCPCS 99497); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.