Active NPI 1629169552 Individual Practitioner Male Practitioner

Dr. Fernando J Bianco , MD

Urology • Hialeah, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Fernando Bianco, MD is a certified Urology practicing in Hialeah, FL. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Bianco delivers high-quality medical care to the local community at 2140 W 68TH ST.

Dr. Bianco is affiliated with Urology Specialist Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, ceftriaxone sodium, per 250 mg, electronic assessment of bladder emptying. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2140 W 68th St
Suite 200

Hialeah, FL 330161815

Telephone 3058227227

Fax 3058276333

Associated Practice Facility / Clinic

🏢 Digestive Medicine Associates Facility NPI 1700867488

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Hialeah, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs -1.6 yrs vs City Avg

City Avg: 32.6 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

11 Specialists

Practicing in Hialeah, FL (1082 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bianco (31 Years) 31 Yrs

Hialeah Specialty Average (32.6 Years) 32.6 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	207	104	$403.00	$134.26
J0696 Injection, ceftriaxone sodium, per 250 mg	57	15	$1.50	$0.46
51741 Electronic assessment of bladder emptying	43	42	$190.00	$14.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$950.00	$177.75
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	35	29	$51.45	$17.17
52000 Diagnostic exam of bladder and urethra using an endoscope	32	26	$1000.00	$245.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	29	$1100.00	$181.78
76872 Ultrasound scan of pelvic region through rectum	28	25	$347.00	$140.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	14	$685.00	$124.58
76770 Complete ultrasound scan behind abdominal cavity	25	25	$422.00	$110.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	12	$93.00	$14.78
55706 Needle stereotactic and image-guided biopsy of prostate gland	16	16	$3750.00	$407.74
51798 Ultrasound measurement of bladder capacity after voiding	16	16	$224.00	$11.87
76775 Limited ultrasound scan behind abdominal cavity	15	14	$217.00	$61.63
55873 Destruction of prostate using imaging guidance	12	12	$30000.00	$5745.05

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	216	108	$403.00	$135.23
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	75	11	$678.00	$169.81
J0696 Injection, ceftriaxone sodium, per 250 mg	68	17	$1.50	$0.52
51741 Electronic assessment of bladder emptying	60	54	$190.00	$13.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$950.00	$178.75
52000 Diagnostic exam of bladder and urethra using an endoscope	42	32	$1000.00	$255.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	33	$1100.00	$185.76
76872 Ultrasound scan of pelvic region through rectum	33	30	$347.00	$141.23
51798 Ultrasound measurement of bladder capacity after voiding	33	29	$224.00	$11.47
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$274.00	$95.93
76770 Complete ultrasound scan behind abdominal cavity	22	22	$422.00	$113.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	12	$93.00	$14.75
55706 Needle stereotactic and image-guided biopsy of prostate gland	15	15	$3750.00	$412.30
76775 Limited ultrasound scan behind abdominal cavity	14	14	$217.00	$62.65
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	14	13	$725.00	$41.75
55873 Destruction of prostate using imaging guidance	13	13	$30000.00	$5980.77

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	176	100	$403.00	$136.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$950.00	$183.01
51741 Electronic assessment of bladder emptying	54	50	$190.00	$12.96
J0696 Injection, ceftriaxone sodium, per 250 mg	48	12	$1.50	$0.50
52000 Diagnostic exam of bladder and urethra using an endoscope	38	30	$1000.00	$261.47
99213 Established patient office or other outpatient visit, typically 15 minutes	31	26	$274.00	$97.68
76872 Ultrasound scan of pelvic region through rectum	26	25	$347.00	$146.35
76770 Complete ultrasound scan behind abdominal cavity	23	22	$422.00	$116.99
51798 Ultrasound measurement of bladder capacity after voiding	22	19	$224.00	$11.40
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	20	20	$725.00	$35.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$1100.00	$213.48
76775 Limited ultrasound scan behind abdominal cavity	15	15	$217.00	$62.92
55700 Biopsy of prostate gland	14	14	$4000.00	$258.15
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	11	11	$1177.00	$328.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87150 Identification of organisms by genetic analysis	252	19	$106.00	$35.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	70	$403.00	$140.86
51741 Electronic assessment of bladder emptying	62	55	$190.00	$13.86
87801 Detection test for multiple organisms	62	22	$211.00	$70.20
99213 Established patient office or other outpatient visit, typically 15 minutes	48	37	$274.00	$99.38
87798 Detection test for organism	47	22	$108.00	$35.09
87481 Detection test for candida species (yeast), amplified probe technique	38	18	$110.00	$35.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$950.00	$185.06
52000 Diagnostic exam of bladder and urethra using an endoscope	34	27	$1000.00	$255.61
51798 Ultrasound measurement of bladder capacity after voiding	30	27	$224.00	$11.30
76770 Complete ultrasound scan behind abdominal cavity	28	27	$422.00	$120.31
87641 Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique	24	22	$106.00	$35.09
87651 Detection test for Strep (Streptococcus, group A)	24	22	$106.00	$35.09
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	24	22	$106.00	$35.09
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	24	22	$106.00	$35.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$1100.00	$218.05
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	19	18	$110.00	$35.09
76872 Ultrasound scan of pelvic region through rectum	16	16	$347.00	$147.16
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	16	16	$725.00	$36.21
76775 Limited ultrasound scan behind abdominal cavity	12	12	$217.00	$63.87

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	154	92	$403.00	$112.97
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	118	16	$666.51	$222.68
51741 Electronic assessment of bladder emptying	54	51	$190.00	$12.19
99213 Established patient office or other outpatient visit, typically 15 minutes	43	32	$274.00	$77.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	17	$93.00	$14.52
52000 Diagnostic exam of bladder and urethra using an endoscope	34	32	$1000.00	$217.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	30	$1100.00	$213.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$950.00	$174.15
51798 Ultrasound measurement of bladder capacity after voiding	30	27	$224.00	$10.91
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	23	23	$725.00	$36.02
76775 Limited ultrasound scan behind abdominal cavity	20	19	$217.00	$60.54
76872 Ultrasound scan of pelvic region through rectum	19	17	$347.00	$144.80
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	16	16	$1276.00	$389.40
51797 Insertion of device into abdomen with pressure and urine flow rate study	16	16	$419.00	$166.52
76770 Complete ultrasound scan behind abdominal cavity	13	13	$422.00	$114.48
51600 Injection procedure for X-ray imaging of the bladder or during voiding	12	12	$987.00	$141.80

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	194	105	$403.00	$115.73
51741 Electronic assessment of bladder emptying	89	78	$190.00	$13.31
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	81	11	$678.00	$225.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$950.00	$178.36
52000 Diagnostic exam of bladder and urethra using an endoscope	50	42	$1000.00	$204.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	42	$1100.00	$219.34
99213 Established patient office or other outpatient visit, typically 15 minutes	39	35	$274.00	$79.20
51798 Ultrasound measurement of bladder capacity after voiding	39	34	$224.00	$13.72
76770 Complete ultrasound scan behind abdominal cavity	34	34	$422.00	$118.03
76872 Ultrasound scan of pelvic region through rectum	32	28	$347.00	$133.13
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	29	29	$725.00	$36.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	12	$93.00	$17.53
76775 Limited ultrasound scan behind abdominal cavity	24	23	$217.00	$61.85
51797 Insertion of device into abdomen with pressure and urine flow rate study	15	15	$419.00	$147.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	11	$685.00	$112.52
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	15	15	$1276.00	$382.62
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	14	14	$1177.00	$357.03

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	263	138	$403.00	$113.57
51741 Electronic assessment of bladder emptying	104	89	$190.00	$15.00
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	69	11	$678.00	$216.57
51798 Ultrasound measurement of bladder capacity after voiding	53	48	$224.00	$16.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	42	$1100.00	$221.15
52000 Diagnostic exam of bladder and urethra using an endoscope	46	33	$1000.00	$180.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$950.00	$179.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	15	$93.00	$21.51
76770 Complete ultrasound scan behind abdominal cavity	35	34	$422.00	$119.79
99213 Established patient office or other outpatient visit, typically 15 minutes	28	18	$274.00	$77.95
76775 Limited ultrasound scan behind abdominal cavity	26	25	$217.00	$59.77
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	26	26	$725.00	$37.61
76872 Ultrasound scan of pelvic region through rectum	24	24	$347.00	$101.16
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	17	17	$1276.00	$355.30
51797 Insertion of device into abdomen with pressure and urine flow rate study	16	16	$419.00	$121.09
77021 Radiological supervision and interpretation of MRI guidance for insertion of needle	16	12	$1366.13	$181.35
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	11	11	$1177.00	$339.88

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	306	183	$403.00	$113.74
51741 Electronic assessment of bladder emptying	107	91	$190.00	$14.79
52000 Diagnostic exam of bladder and urethra using an endoscope	67	61	$1000.00	$177.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$950.00	$177.78
51798 Ultrasound measurement of bladder capacity after voiding	56	53	$224.00	$20.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$1100.00	$219.73
76872 Ultrasound scan of pelvic region through rectum	30	28	$347.00	$99.18
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$274.00	$77.73
76770 Complete ultrasound scan behind abdominal cavity	27	26	$422.00	$119.07
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	27	27	$725.00	$38.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$950.00	$149.14
76775 Limited ultrasound scan behind abdominal cavity	25	25	$217.00	$61.96
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	23	23	$1276.00	$361.51
51797 Insertion of device into abdomen with pressure and urine flow rate study	23	23	$419.00	$118.60
77021 Radiological supervision and interpretation of MRI guidance for insertion of needle	23	21	$1730.35	$399.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	11	$93.00	$26.56
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$6150.00	$951.22
55873 Destruction of prostate using imaging guidance	13	13	$30000.00	$6906.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$546.00	$154.17

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME 101850

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Simply

P01718267 (FL)

Commercial Insurance / Payer ID Freedom

P1037439 (FL)

Commercial Insurance / Payer ID Cigna

6004889 (FL)

Commercial Insurance / Payer ID Aetna

7695829 (FL)

Commercial Insurance / Payer ID Bcbs

53234 (FL)

Commercial Insurance / Payer ID Avmed

319689 (FL)

Commercial Insurance / Payer ID Optimum

P972690 (FL)

Commercial Insurance / Payer ID Wellcare

1274120 (FL)

Commercial Insurance / Payer ID Rr Medicare

P01601017 (FL)

Commercial Insurance / Payer ID Dimension

11827 (FL)

Hospital & Practice Group Affiliations

Urology Specialist Group Llc

2140 W 68th St, Hialeah, FL 330161815

Phone: 3058227227

Practice Associates & Co-Workers

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

7 Associated Practitioners

Lourdes Matamoros , SA-C

Specialist/Technologist, Other - Surgical Assistant

NPI 1154868719

SAC

Dr. Ariel Kaufman , MD

Urology

NPI 1275955981

Doctor of Medicine (M.D.)

Dr. Andres Perez Roman , MD

Urology

NPI 1326497272

Doctor of Medicine (M.D.)

Domingo Luis , ARNP

Nurse Practitioner

NPI 1477882553

Advanced Registered Nurse Practitioner

Camila Benatar Pineda

Physician Assistant

NPI 1639703440

Dr. Edward Gheiler , MD

Urology

NPI 1750347753

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2016

Registered at 2140 W 68TH ST, SUITE 200, HIALEAH, FL 330161815 (Tel: 3058227227)

📍

Updated Business Mailing Address November 09, 2016

Registered at 2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 339071412 (Tel: 2399317342)

👤

Provider Name / Credentials Updated November 09, 2016

Recorded as FERNANDO BIANCO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2016

Urology (License #ME 101850 in FL)

🟢

Initial NPI Registration & Enumeration September 27, 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: 1629169552

Entity Type:

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

Enumeration Date: September 27, 2006

Last Update: November 09, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept.

Fort Myers, FL 339071412

Phone: 2399317342

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.