Active NPI 1184703399 Individual Practitioner Male Practitioner

Dr. Luis A Cisneros , MD

Internal Medicine • Vero Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Luis Cisneros, MD is a certified Internal Medicine practicing in Vero Beach, FL. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Cisneros delivers high-quality medical care to the local community at 1000 36TH AV.

Dr. Cisneros is affiliated with Indian River Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 36th Av

Vero Beach, FL 32967

Telephone 7725674311

Fax 5706932123

Associated Practice Facility / Clinic

🏢 Emergency Medicine Associates Inc Facility NPI 1366437386

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Vero Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +14.3 yrs vs City Avg

City Avg: 19.7 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

91 Specialists

Practicing in Vero Beach, FL (10650 Statewide)

Telehealth Adoption Rate

26.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cisneros (34 Years) 34 Yrs

Vero Beach Specialty Average (19.7 Years) 19.7 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	765	718	$1023.00	$174.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	104	67	$336.00	$79.54
99239 Hospital discharge day management, more than 30 minutes	56	56	$999.00	$114.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$729.00	$132.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	308	297	$1023.00	$178.11
99239 Hospital discharge day management, more than 30 minutes	131	128	$999.00	$117.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$863.71	$134.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	490	204	$154.29	$73.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	180	171	$535.66	$205.23
99239 Hospital discharge day management, more than 30 minutes	147	137	$923.48	$107.85
99220 Hospital observation care, typically 70 minutes	75	74	$412.67	$183.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	20	$226.29	$105.70
99219 Hospital observation care, typically 50 minutes	20	20	$292.35	$137.32
99238 Hospital discharge day management, 30 minutes or less	12	11	$156.00	$74.08
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$492.00	$105.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	330	324	$430.00	$208.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	270	144	$154.00	$74.90
99239 Hospital discharge day management, more than 30 minutes	81	80	$908.00	$109.73
99221 Initial hospital inpatient care per day, typically 30 minutes	77	76	$472.00	$107.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	60	$220.00	$107.51
99220 Hospital observation care, typically 70 minutes	55	55	$394.00	$189.34
99218 Hospital observation care typically 30 minutes	35	35	$214.00	$103.23
99219 Hospital observation care, typically 50 minutes	27	27	$288.00	$140.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$292.00	$142.42
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	16	$112.00	$54.92
99238 Hospital discharge day management, 30 minutes or less	12	12	$156.00	$74.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	228	222	$430.00	$214.30
99219 Hospital observation care, typically 50 minutes	170	167	$288.00	$140.54
99220 Hospital observation care, typically 70 minutes	159	156	$394.00	$194.15
99218 Hospital observation care typically 30 minutes	142	140	$214.00	$105.96
99221 Initial hospital inpatient care per day, typically 30 minutes	129	127	$306.60	$109.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	84	$154.00	$75.86
99217 Hospital observation care on day of discharge	89	87	$156.00	$75.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	32	$220.00	$108.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$292.00	$146.43
99238 Hospital discharge day management, 30 minutes or less	25	25	$156.00	$76.88
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	12	12	$112.00	$55.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99219 Hospital observation care, typically 50 minutes	534	516	$287.98	$141.34
99217 Hospital observation care on day of discharge	273	273	$155.96	$75.67
99218 Hospital observation care typically 30 minutes	235	229	$213.92	$104.09
99220 Hospital observation care, typically 70 minutes	188	186	$393.93	$193.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	129	112	$154.00	$75.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	73	69	$220.00	$108.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	71	$429.83	$210.76
99221 Initial hospital inpatient care per day, typically 30 minutes	64	64	$219.13	$107.11
99225 Subsequent observation care, typically 25 minutes per day	39	39	$156.00	$76.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$291.79	$143.26
99238 Hospital discharge day management, 30 minutes or less	14	14	$156.00	$75.89
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	$112.00	$54.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99217 Hospital observation care on day of discharge	488	468	$153.99	$76.04
99220 Hospital observation care, typically 70 minutes	309	301	$391.96	$193.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	245	238	$428.00	$211.48
99219 Hospital observation care, typically 50 minutes	187	183	$285.98	$142.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	87	86	$154.00	$76.03
99225 Subsequent observation care, typically 25 minutes per day	76	76	$154.00	$76.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$289.57	$143.47
99291 Critical care, first 30-74 minutes	12	12	$582.00	$234.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	205	86	$161.89	$73.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	200	198	$459.38	$210.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	135	134	$290.90	$143.07
99220 Hospital observation care, typically 70 minutes	97	92	$393.00	$192.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	90	42	$226.38	$108.46
99217 Hospital observation care on day of discharge	86	85	$153.90	$75.67
99219 Hospital observation care, typically 50 minutes	82	80	$286.95	$141.20
99218 Hospital observation care typically 30 minutes	29	29	$212.00	$104.15
99239 Hospital discharge day management, more than 30 minutes	28	28	$263.09	$110.89
99225 Subsequent observation care, typically 25 minutes per day	28	27	$153.79	$75.58
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$217.92	$106.99
99238 Hospital discharge day management, 30 minutes or less	21	21	$268.08	$73.75

Medical Specialties & State Licenses

CMS Verified: 2023-10-26

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME99482

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001771032 (PA)

Commercial Insurance / Payer ID Aetna

2257546 (PA)

Hospital & Practice Group Affiliations

Indian River Health Services Inc

1190 37th St, Vero Beach, FL 329606507

Phone: 7725674311

Indian River Health Services Inc

1000 36th St, Vero Beach, FL 329604862

Phone: 7725674311

Practice Associates & Co-Workers

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

40 Associated Practitioners

Robert Tack , PA-C

Physician Assistant

NPI 1003289455

Physician Assistant (Certified)

Dr. Farah Fourcand , MD

Psychiatry & Neurology - Vascular Neurology

NPI 1013302421

Doctor of Medicine (M.D.)

Craig Romero , PHYSICIAN ASSISTANT

Physician Assistant - Medical

NPI 1013919513

PHYSICIANASSISTANT

Tracy Best , APRN-FNP

Nurse Practitioner - Family

NPI 1023387909

APRNFNP

Katelin Mcginnis , RD

Dietitian, Registered

NPI 1033737861

Registered Dietitian

Jenny Nguyen , PA

Physician Assistant

NPI 1043181076

Physician Assistant

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location October 27, 2023

Registered at 1000 36TH AV, VERO BEACH, FL 32967 (Tel: 7725674311)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2023

Internal Medicine (License #ME99482 in FL)

📍

Updated Business Mailing Address September 04, 2023

Registered at 1000 36TH AV, VERO BEACH, FL 32960 (Tel: 7725674311)

✅

NPI Profile Active March 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2016

Registered at 812 SHOEMAKER AVE & 8TH ST, WEST WYOMING, PA 18640 (Tel: 5706904020)

📍

Updated Business Mailing Address March 03, 2016

Registered at 812 SHOEMAKER AVE & 8TH ST, WEST WYOMING, PA 18640 (Tel: 5706904020)

👤

Provider Name / Credentials Updated March 03, 2016

Recorded as LUIS CISNEROS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2016

Internal Medicine (License #MD068975L in PA)

🟢

Initial NPI Registration & Enumeration November 06, 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: 1184703399

Entity Type:

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

Enumeration Date: November 06, 2006

Last Update: October 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1000 36th Av

Vero Beach, FL 32960

Phone: 7725674311

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.