DR. WILLIAM JAMES TINGLE MD
NPI 1083701452
Urology in Marathon, FL

Q: What is William Tingle's NPI number?

The NPI number for William Tingle is 1083701452. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Q: What is William Tingle's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for William Tingle was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment

99.15/100

CMS Quality Rating

3303 OVERSEAS HWY STE 100, MARATHON, FL 33050(786) 662-5610(786) 533-9980 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 20, 2024, Mar 31, 2017 (2 updates tracked since 2017).

On this page

About Dr. William James Tingle Md NPPES

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

DR. WILLIAM JAMES TINGLE MD (NPI 1083701452) is an individual urology provider in Marathon, Florida, licensed in Florida (ME59349) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of University Of Florida College Of Medicine (1989).

NPPES Registry Identity

NPI1083701452

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. WILLIAM JAMES TINGLECredential: MD

Location Address3303 OVERSEAS HWY STE 100Marathon, FL 33050-2329

Mailing AddressPo Box 198054Atlanta, GA 30384-8054 · (786) 662-7980

Phone(786) 662-5610

Fax(786) 533-9980

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 1989

Enumeration DateOctober 6, 2006

Last NPPES UpdateDecember 20, 20242 updates tracked since enumeration

NPPES CertifiedDecember 20, 2024

✔ NPI 1083701452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in FL · ME59349

Definition

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.

3303 OVERSEAS HWY STE 100, Marathon, FL 33050

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Other Identifiers 12

Medicaid376030800FL

Other1484132FL · Cigna

Other1193488FL · Wellcare

Other208525FL · Avmed

OtherP01807653FL · Clear Health

OtherP104324FL · Freedom Health

Other340009780Medicare Railroad

OtherP01078296FL · Railroad Medicare

OtherQMP000005228656FL · Molina

Other165719FL · Universal

OtherP512083FL · Optimum

Other4605729FL · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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. William James Tingle 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 ID5496667768

PECOS Enrollment IDI20100923000784

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

Medicare enrollment records show William Tingle reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Upper Keys, LLC

41 mi

Specialist

91550 OVERSEAS HIGHWAY, SUITE 215
Tavernier, FL 33070

Reassigned Medicare billing, Florida enrollment
24 clinicians in this Medicare group

NPI 1558553479 (786) 662-7111

Genesiscare Usa Of Florida LLC

43 mi

Medical Oncology

3426 N ROOSEVELT BLVD
Key West, FL 33040

Reassigned Medicare billing, Florida enrollment
284 clinicians in this Medicare group

NPI 1891196127 (305) 296-0021

Baptist Health Medical Group Physicians LLC

82 mi

Specialist

8900 N KENDALL DR
Miami, FL 33176

Reassigned Medicare billing, Florida enrollment
685 clinicians in this Medicare group

NPI 1891893343 (786) 662-7111

Smh Physician Services Inc

200 mi

Internal Medicine

1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION
Sarasota, FL 34239

Reassigned Medicare billing, Florida enrollment
956 clinicians in this Medicare group

NPI 1346295292 (941) 917-8720

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 28

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.

Bcg live intravesical instillation, 1 mg J9030

BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.

1,200 services12 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.

1,130 services823 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

1,061 services746 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

988 services751 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.

536 services446 patients

Limited ultrasound scan behind abdominal cavity 76775

A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.

421 services358 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

113 services100 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

109 services99 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

106 services91 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

84 services15 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.

81 services81 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

57 services52 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

54 services52 patients

Instillation of anti-cancer drug into bladder 51720

This procedure involves introducing a medication into the bladder to help fight off harmful cells. A small tube is gently placed into the area where urine exits the body. Through this tube, the medication is delivered directly into the bladder for maximum effectiveness.

53 services18 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

46 services39 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

32 services26 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

29 services29 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

29 services19 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

28 services28 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

27 services21 patients

Subsequent dilation of urethra in female 53661

This procedure involves the gentle widening of the urinary passage in females to help alleviate any blockages or restrictions. It's usually done under anesthesia and can significantly improve comfort and function.

27 services12 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

26 services25 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

25 services15 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

24 services23 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

23 services20 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

17 services16 patients

Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope 52214

This procedure involves the use of a special tool called an endoscope to remove or destroy abnormal tissue in the bladder or urethra. It's done to treat certain conditions and improve your health.

13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100087

Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota 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

Desoto Memorial Hospital

Acute Care Hospitals · Arcadia, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100175

Location900 N Robert AveArcadia, FL 34265 · De Soto County

Emergency services

Fishermen's Community Hospital

Critical Access Hospitals · Marathon, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number101312

Location3301 Overseas HwyMarathon, FL 33050 · Monroe 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 33050 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

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

Most-billed visit code 99213

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.

99.15/100

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

Individually scored

Promoting Interoperability

Improvement Activities

Reported Quality Measures

e-Prescribing

96%1,203 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

99%1,251 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.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

2 suppliers20 claims2,790 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

8 suppliers85 claims11,480 services$1.64 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

7 suppliers74 claims11,262 services$5.33 avg. paid by Medicare

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

Other Providers at the Same Location NPPES 4

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

BAPTIST HEALTH MEDICAL GROUP UPPER KEYS, LLC

Durable Medical Equipment & Medical Supplies

3303 OVERSEAS HWY STE 100
MARATHON, FL 33050

Monroe County (305) 434-3300

LAVIDA JUDITH THOMAS-RICHARDSON MD

Family Medicine

3303 OVERSEAS HWY STE 100
MARATHON, FL 33050

Monroe County (305) 434-1400

LEA MARGARET THIES FNP

Nurse Practitioner

3303 OVERSEAS HWY STE 100
MARATHON, FL 33050

Monroe County (305) 434-1400

MR. WILLIAM ROBIN LOZANO PA-C

Physician Assistant

3303 OVERSEAS HWY STE 100
MARATHON, FL 33050

Monroe County (305) 434-1400

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 William Tingle's NPI number?

The NPI number for William Tingle is 1083701452. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is William Tingle located?

William Tingle practices at 3303 Overseas Hwy Ste 100, Marathon, FL 33050. The listed phone number is (786) 662-5610.

What is William Tingle's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is William Tingle enrolled in Medicare?

Yes. William Tingle 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 William Tingle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Tingle reassigns Medicare benefits to 4 organizations: Baptist Health Medical Group Upper Keys, LLC (Tavernier, FL), Genesiscare Usa Of Florida LLC (Key West, FL), Baptist Health Medical Group Physicians LLC (Miami, FL) and Smh Physician Services Inc (Sarasota, FL). 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 William Tingle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Tingle accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 4 other insurers list William Tingle 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 William Tingle affiliated with any hospitals?

According to CMS data, William Tingle is affiliated with Sarasota Memorial Hospital, South Miami Hospital, Desoto Memorial Hospital, Fishermen's Community Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for William Tingle was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.