DR. SERGIO TIERRABLANCA DO
NPI 1023645041
Family Medicine in Miami, FL

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
7400 SW 87TH AVE STE 260, MIAMI, FL 33173(786) 595-8040 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2024, May 24, 2023, Mar 27, 2020 (3 updates tracked since 2020).

About Dr. Sergio Tierrablanca Do NPPES

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

DR. SERGIO TIERRABLANCA DO (NPI 1023645041) is an individual family medicine provider in Miami, Florida, licensed in Florida (OS19567) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Nova Southeastern College Of Osteo Medicine (2020).

NPPES Registry Identity

NPI1023645041
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SERGIO TIERRABLANCACredential: DO
Location Address7400 SW 87TH AVE STE 260Miami, FL 33173-5458
Mailing AddressPo Box 198054Atlanta, GA 30384-4872 · (786) 594-6880
Sole ProprietorYes
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateApril 8, 20243 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1023645041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS19567
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7400 SW 87TH AVE STE 260, Miami, FL 33173

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sergio Tierrablanca Do 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 ID9032578190
PECOS Enrollment IDI20230707000609
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Sergio Tierrablanca reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
8900 N KENDALL DR
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 685 clinicians in this Medicare group
General Practice
13001 SW 88TH ST
Miami, FL 33186
  • Reassigned Medicare billing, Florida enrollment
  • 72 clinicians in this Medicare group
General Practice
8950 SW 152ND ST STE 103
Palmetto Bay, FL 33157
  • Reassigned Medicare billing, Florida enrollment
  • 79 clinicians in this Medicare group
General Practice
8840 BIRD ROAD, SUITE #100
Miami, FL 33165
  • Reassigned Medicare billing, Florida enrollment
  • 70 clinicians in this Medicare group
General Practice
13500 SW 152ND ST
Miami, FL 33177
  • Reassigned Medicare billing, Florida enrollment
  • 79 clinicians in this Medicare group
General Practice
14660 SW 8TH ST STE 100
Miami, FL 33184
  • Reassigned Medicare billing, Florida enrollment
  • 74 clinicians in this Medicare group
General Practice
20997 OLD CUTLER RD
Cutler Bay, FL 33189
  • Reassigned Medicare billing, Florida enrollment
  • 43 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

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.
114 services73 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services18 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.
18 services18 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
18 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33173 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 7

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

Family Medicine
7400 SW 87TH AVE STE 260
MIAMI, FL 33173
Counselor (Mental Health)
7400 SW 87TH AVE STE 260
MIAMI, FL 33173
Family Medicine
7400 SW 87TH AVE STE 260
MIAMI, FL 33173
Nurse Practitioner
7400 SW 87TH AVE STE 260
MIAMI, FL 33173
Nurse Practitioner (Family)
7400 SW 87TH AVE STE 260
MIAMI, FL 33173
Family Medicine
7400 SW 87TH AVE STE 260
MIAMI, FL 33173
Internal Medicine
7400 SW 87TH AVE STE 260
MIAMI, FL 33173

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sergio Tierrablanca's NPI number?

The NPI number for Sergio Tierrablanca is 1023645041. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Sergio Tierrablanca located?

Sergio Tierrablanca practices at 7400 SW 87th Ave Ste 260, Miami, FL 33173. The listed phone number is (786) 595-8040.

What is Sergio Tierrablanca's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sergio Tierrablanca enrolled in Medicare?

Yes. Sergio Tierrablanca is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sergio Tierrablanca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Tierrablanca reassigns Medicare benefits to 7 organizations: Baptist Health Medical Group Physicians LLC (Miami, FL), Urgent Care Physicians Of West Kendall LLC (Miami, FL), Urgent Care Physicians Of Palmetto Bay LLC (Palmetto Bay, FL), Urgent Care Physicians Of Westchester LLC (Miami, FL), Urgent Care Physicians Of Country Walk LLC (Miami, FL) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sergio Tierrablanca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sergio Tierrablanca accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Sergio Tierrablanca as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sergio Tierrablanca affiliated with any hospitals?

According to CMS data, Sergio Tierrablanca is affiliated with Baptist Hospital Of Miami and South Miami Hospital.

When was this NPI record last updated?

The NPPES record for Sergio Tierrablanca was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.