Active NPI 1326032954 Individual Practitioner Male Practitioner

Dr. Anthony J Arciola , MD

Urology • Sebring, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Arciola, MD is a certified Urology practicing in Sebring, FL. With approximately 46 years of clinical experience since graduating from New York Medical College in 1980, Dr. Arciola delivers high-quality medical care to the local community at 4420 SUN N LAKE BLVD.

Dr. Arciola is affiliated with Adventist Health System-Sunbelt Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, manual urinalysis test with examination using microscope, non-automated, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4420 Sun N Lake Blvd

Sebring, FL 338722164

Telephone 8633852248

Fax 8633821242

Associated Practice Facility / Clinic

🏢 Amit I Shah M D P A Facility NPI 1881733772

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Sebring, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +17.6 yrs vs City Avg

City Avg: 28.4 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

8 Specialists

Practicing in Sebring, FL (1082 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

53.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Arciola (46 Years) 46 Yrs

Sebring Specialty Average (28.4 Years) 28.4 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	1,023	605	$140.00	$125.41
81000 Manual urinalysis test with examination using microscope, non-automated	897	570	$10.00	$3.94
99213 Established patient office or other outpatient visit, typically 15 minutes	278	190	$95.00	$88.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	158	158	$179.97	$164.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	96	40	$150.00	$77.57
52000 Diagnostic exam of bladder and urethra using an endoscope	89	74	$350.00	$227.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	54	$200.00	$129.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	27	$75.28	$54.91
51798 Ultrasound measurement of bladder capacity after voiding	27	27	$15.00	$10.71
52005 Insertion of tube into ureter using an endoscope through bladder area	22	16	$496.59	$92.61
55700 Biopsy of prostate gland	18	18	$441.67	$130.02
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	13	$529.17	$146.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	11	$41.67	$22.24

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	1,114	625	$140.00	$125.18
81000 Manual urinalysis test with examination using microscope, non-automated	923	580	$10.00	$3.94
99213 Established patient office or other outpatient visit, typically 15 minutes	326	202	$95.00	$88.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	207	207	$180.00	$164.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	149	57	$150.00	$78.57
52000 Diagnostic exam of bladder and urethra using an endoscope	127	106	$350.00	$232.38
51798 Ultrasound measurement of bladder capacity after voiding	74	67	$15.00	$10.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	52	$200.00	$129.69
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	31	$90.13	$50.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	23	$75.26	$55.17
74420 Imaging of urinary tract	33	23	$50.00	$23.96
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	15	$750.00	$150.06
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	16	16	$1000.00	$707.41
55700 Biopsy of prostate gland	14	14	$625.00	$125.08
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$600.00	$130.15

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	853	531	$140.00	$126.65
81000 Manual urinalysis test with examination using microscope, non-automated	767	488	$10.00	$3.97
99213 Established patient office or other outpatient visit, typically 15 minutes	486	303	$95.00	$90.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	175	175	$180.00	$167.24
52000 Diagnostic exam of bladder and urethra using an endoscope	128	112	$350.00	$241.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	106	48	$150.00	$70.86
51798 Ultrasound measurement of bladder capacity after voiding	79	69	$15.00	$10.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	72	68	$200.00	$135.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	21	$75.00	$56.05
74420 Imaging of urinary tract	31	19	$51.61	$24.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	11	$35.00	$14.05
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	11	$1000.00	$713.96

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	797	529	$154.46	$129.81
81000 Manual urinalysis test with examination using microscope, non-automated	739	488	$10.22	$4.01
99213 Established patient office or other outpatient visit, typically 15 minutes	372	247	$101.54	$91.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$192.38	$169.58
52000 Diagnostic exam of bladder and urethra using an endoscope	121	102	$337.85	$233.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	120	52	$152.42	$72.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	80	69	$212.92	$137.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	25	$76.26	$55.92
74420 Imaging of urinary tract	39	30	$49.34	$24.70
51798 Ultrasound measurement of bladder capacity after voiding	37	35	$23.51	$10.03
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	18	$742.50	$127.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	990	598	$12.00	$3.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	858	566	$268.05	$108.33
99213 Established patient office or other outpatient visit, typically 15 minutes	579	335	$181.85	$74.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	172	172	$414.40	$165.88
52000 Diagnostic exam of bladder and urethra using an endoscope	169	140	$280.00	$209.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	122	44	$182.28	$71.68
51798 Ultrasound measurement of bladder capacity after voiding	93	84	$120.00	$10.01
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	79	17	$700.00	$227.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	56	$347.70	$136.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	35	$107.83	$45.25
51702 Simple insertion of temporary bladder tube	46	15	$150.00	$61.27
74420 Imaging of urinary tract	37	30	$45.68	$25.74
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	18	$700.00	$97.67
76700 Ultrasound of abdomen	21	21	$353.00	$119.67
76770 Complete ultrasound scan behind abdominal cavity	19	19	$353.00	$110.21
76872 Ultrasound scan of pelvic region through rectum	17	17	$250.00	$33.93
55700 Biopsy of prostate gland	17	17	$400.00	$137.56
52648 Laser vaporization of prostate including control of bleeding using an endoscope	16	16	$1750.00	$719.35
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$800.00	$127.80
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$1083.70	$417.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	1,055	665	$12.00	$3.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	765	550	$268.05	$107.23
99213 Established patient office or other outpatient visit, typically 15 minutes	682	395	$181.85	$73.15
51798 Ultrasound measurement of bladder capacity after voiding	372	334	$120.00	$12.28
52000 Diagnostic exam of bladder and urethra using an endoscope	164	145	$280.00	$186.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	156	156	$414.40	$162.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	143	62	$182.28	$71.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	89	82	$347.70	$136.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	59	$107.83	$44.45
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	77	13	$700.00	$224.89
74420 Imaging of urinary tract	49	35	$45.68	$25.87
51702 Simple insertion of temporary bladder tube	37	11	$150.00	$61.13
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	22	$700.00	$134.89
55700 Biopsy of prostate gland	23	22	$400.00	$136.10
52648 Laser vaporization of prostate including control of bleeding using an endoscope	17	17	$1750.00	$715.20
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	17	$800.00	$115.80
76872 Ultrasound scan of pelvic region through rectum	16	16	$250.00	$33.61
50590 Shock wave crushing of kidney stones	14	13	$2500.00	$588.76

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	874	612	$268.05	$106.41
81000 Manual urinalysis test with examination using microscope, non-automated	817	561	$12.00	$3.91
51798 Ultrasound measurement of bladder capacity after voiding	674	508	$120.00	$15.27
99213 Established patient office or other outpatient visit, typically 15 minutes	549	325	$181.85	$71.94
52000 Diagnostic exam of bladder and urethra using an endoscope	197	166	$280.00	$164.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	168	168	$414.40	$164.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	149	63	$182.28	$73.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	93	83	$347.70	$136.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	53	$107.83	$43.24
74420 Imaging of urinary tract	43	29	$45.68	$17.21
51702 Simple insertion of temporary bladder tube	40	14	$150.00	$63.50
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	40	11	$700.00	$214.78
52648 Laser vaporization of prostate including control of bleeding using an endoscope	29	29	$1750.00	$696.93
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	20	$700.00	$133.44
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$110.00	$53.12
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$800.00	$115.51
55700 Biopsy of prostate gland	14	14	$400.00	$136.38
76872 Ultrasound scan of pelvic region through rectum	14	14	$250.00	$33.91

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	990	647	$268.05	$102.15
81000 Manual urinalysis test with examination using microscope, non-automated	762	541	$12.00	$4.24
51798 Ultrasound measurement of bladder capacity after voiding	426	363	$120.00	$18.23
99213 Established patient office or other outpatient visit, typically 15 minutes	397	227	$181.85	$69.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	255	83	$183.58	$69.68
52000 Diagnostic exam of bladder and urethra using an endoscope	208	173	$280.00	$156.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$414.40	$157.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	101	91	$347.70	$132.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	41	$107.83	$41.53
74420 Imaging of urinary tract	65	37	$45.68	$16.95
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	58	14	$700.00	$215.45
51720 Instillation of anti-cancer drug into bladder	57	16	$200.00	$84.33
51702 Simple insertion of temporary bladder tube	52	18	$150.00	$59.92
J9031 Bcg (intravesical) per instillation	42	11	$220.00	$125.70
52332 Insertion of stent in urinary duct (ureter) using an endoscope	32	22	$700.00	$124.21
52648 Laser vaporization of prostate including control of bleeding using an endoscope	29	27	$1750.00	$660.97
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	27	26	$800.00	$131.68
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	18	16	$1300.00	$118.51
50590 Shock wave crushing of kidney stones	16	16	$2500.00	$527.86
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	16	$1083.70	$396.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$520.68	$200.34
51702 Simple insertion of temporary bladder tube	11	11	$150.00	$25.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$110.00	$51.14
76872 Ultrasound scan of pelvic region through rectum	11	11	$250.00	$32.33
55700 Biopsy of prostate gland	11	11	$400.00	$131.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$362.05	$138.77

Medical Specialties & State Licenses

CMS Verified: 2026-02-08

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME49361

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

Medicaid State Provider ID

270564800 (FL)

Commercial Insurance / Payer ID Bcbs

01458 (FL)

Hospital & Practice Group Affiliations

Adventist Health System-Sunbelt Inc

1210 Us Hwy 27 N, Lake Placid, FL 338527948

Phone: 8634653777

Adventist Health System-Sunbelt Inc

4200 Sun N Lake Blvd, Sebring, FL 338721986

Phone: 8633144466

Secondary Practice Locations

6801 Us 27 N, Suite C2

Sebring, FL 338707840

Phone: 8633820333

Practice Associates & Co-Workers

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

7 Associated Practitioners

Samantha Denton , APRN

Nurse Practitioner - Family

NPI 1316816283

Advanced Practice Registered Nurse

Dr. Eustus Nelson , MD

Urology

NPI 1417957507

Doctor of Medicine (M.D.)

Dr. Ronald Chee-Awai , MD

Urology

NPI 1467450171

Doctor of Medicine (M.D.)

Dr. Alexander Troum , DO

Internal Medicine - Gastroenterology

NPI 1629425533

Doctor of Osteopathic Medicine (D.O.)

Dr. Aravindh Rathinam , MD, M CH

Urology

NPI 1821877366

Doctor of Medicine (M.D.), MCH

Dr. Randall Clark , MD

Urology

NPI 1891790374

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 08, 2026

Registered at 4420 SUN N LAKE BLVD, SEBRING, FL 338722164 (Tel: 8633852248)

📍

Updated Business Mailing Address February 08, 2026

Registered at 4420 SUN N LAKE BLVD, SEBRING, FL 338722164 (Tel: 8633852248)

✅

NPI Profile Active June 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 22, 2016

Registered at 6801 US 27 N, SUITE C2, SEBRING, FL 338707840 (Tel: 8633820333)

📍

Updated Business Mailing Address June 22, 2016

Registered at 6801 US 27 N, SUITE C2, SEBRING, FL 338707840 (Tel: 8633820333)

👤

Provider Name / Credentials Updated June 22, 2016

Recorded as ANTHONY ARCIOLA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2016

Urology (License #ME49361 in FL)

🟢

Initial NPI Registration & Enumeration September 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1326032954

Entity Type:

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

Enumeration Date: September 09, 2005

Last Update: February 08, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4420 Sun N Lake Blvd

Sebring, FL 338722164

Phone: 8633852248

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.