BIANCA DORINA ALFONSO MD
NPI 1013159763
Internal Medicine - Endocrinology, Diabetes & Metabolism in South Miami, FL

Q: What is Bianca Alfonso's NPI number?

The NPI number for Bianca Alfonso is 1013159763. It was assigned to this individual provider in the NPPES registry on March 26, 2009.

Q: What is Bianca Alfonso's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Bianca Alfonso was last updated on July 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2009PECOS EnrolledAccepts Medicare Assignment

84.9/100

CMS Quality Rating

6141 SUNSET DR STE 403, SOUTH MIAMI, FL 33143(305) 665-2300(305) 669-8966 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 27, 2023, Aug 16, 2022, Aug 11, 2020 and 3 more (6 updates tracked since 2018).

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About Bianca Dorina Alfonso Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIANCA DORINA ALFONSO MD (NPI 1013159763) is an individual endocrinology, diabetes & metabolism provider in South Miami, Florida, licensed in Florida (ME 109946) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with South Miami Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1013159763

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameBIANCA DORINA ALFONSOCredential: MD

Location Address6141 SUNSET DR STE 403South Miami, FL 33143-5026

Mailing Address6141 Sunset Dr Ste 403South Miami, FL 33143-5026 · (305) 665-2300 · Fax (305) 669-8966

Phone(305) 665-2300

Fax(305) 669-8966

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateMarch 26, 2009

Last NPPES UpdateJuly 27, 20236 updates tracked since enumeration

NPPES CertifiedJuly 27, 2023

✔ NPI 1013159763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in FL · ME 109946

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

6141 SUNSET DR STE 403, South Miami, FL 33143

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Other Identifiers 3

Other352405FL · Avmed

OtherU006OFL · Bcbs

OtherFK506WFL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bianca Dorina Alfonso Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395917066

PECOS Enrollment IDI20111003000306

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

1,080 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

431 services239 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

123 services78 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

46 services46 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

42 services24 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

21 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Miami Hospital

Acute Care Hospitals · South Miami, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100154

Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County

Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100296

Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County

Emergency services

Mariners Hospital

Critical Access Hospitals · Tavernier, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number101313

Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.9/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

85.93

Promoting Interoperability

100

Improvement Activities

Cost

63.75

Reported Quality Measures

Controlling High Blood Pressure

62%74 patients3/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

38%369 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%3,833 patients5/55-star benchmark: 100%

e-Prescribing

100%616 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

3%419 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

46%439 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

37%561 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 1,431 patients

Patients screened: 99% · 1,431 patients

24%46 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

99%944 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

81%365 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 448 patients

Patients totalRate: 4% · 448 patients

4%448 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers30 claims80 services$6.29 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers17 claims25 services$0.99 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers159 claims163 services$190.42 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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