DR. MARK ANTHONY LOMIBAO GONZALGO M.D.
NPI 1174570154
Urology in Miami, FL

Q: What is Mark Anthony Gonzalgo's NPI number?

The NPI number for Mark Anthony Gonzalgo is 1174570154. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Q: What is Mark Anthony Gonzalgo's specialty?

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

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

1150 NW 14TH ST, MIAMI, FL 33136(305) 243-4000(305) 243-6597 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mark Anthony Lomibao Gonzalgo M.d. NPPES

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

DR. MARK ANTHONY LOMIBAO GONZALGO M.D. (NPI 1174570154) is an individual urology provider in Miami, Florida, licensed in Florida (ME116870) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1174570154

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. MARK ANTHONY LOMIBAO GONZALGOCredential: M.D.

Location Address1150 NW 14TH STMiami, FL 33136-2137

Mailing Address1150 Nw 14th StMiami, FL 33136-2137 · (305) 243-4000 · Fax (305) 243-6597

Phone(305) 243-4000

Fax(305) 243-6597

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateMay 27, 2006

Last NPPES UpdateApril 25, 2025

NPPES CertifiedApril 25, 2025

✔ NPI 1174570154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in FL · ME116870

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.

1150 NW 14TH ST, Miami, FL 33136

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Dr. Mark Anthony Lomibao Gonzalgo M.d. 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 ID5092765974

PECOS Enrollment IDI20130820000442

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 16

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.

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.

101 services66 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

85 services59 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.

84 services84 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.

58 services58 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

54 services42 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

33 services33 patients

Surgical removal of prostate and surrounding lymph nodes using an endoscope 55866

This is a minimally invasive procedure where a small camera (endoscope) is used to remove a gland located in the lower body and nearby small filtering structures. It's done to prevent the spread of unwanted cells and improve overall health.

32 services32 patients

Removal of lymph nodes of both sides of pelvis using an endoscope 38571

This procedure involves using a small camera (endoscope) to view and remove lymph nodes from both sides of your lower torso. Lymph nodes help filter harmful substances from the body. The procedure is done to prevent the spread of certain conditions.

31 services31 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.

28 services28 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.

28 services28 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

27 services27 patients

Review by radiologist of mri guidance for needle placement 77021

This procedure involves a radiologist examining MRI images to accurately guide a needle's placement within the body. It's crucial for procedures requiring precision, such as taking tissue samples or delivering medication.

21 services21 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.

19 services17 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.

17 services17 patients

Destruction and/or removal of large growth of bladder using an endoscope 52240

This procedure involves using a special instrument, an endoscope, to view and treat a large growth in the bladder. The growth is either destroyed or removed to alleviate symptoms and prevent further complications. It's a minimally invasive technique, enhancing recovery.

15 services12 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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.

81.31/100

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

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Referred Medical Equipment & Supplies CMS DME claims 14

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

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

DME-Orthotic Devices · category DF008N

3 suppliers21 claims2,760 services$5.23 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

10 suppliers77 claims252 services$9.08 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

4 suppliers35 claims1,005 services$3.31 avg. paid by Medicare

Ostomy skin barrier, liquid (spray, brush, etc.), per oz A4369

DME-Orthotic Devices · category DF010N

4 suppliers27 claims82 services$2.34 avg. paid by Medicare

Ostomy skin barrier, powder, per oz A4371

DME-Orthotic Devices · category DF010N

5 suppliers20 claims48 services$3.53 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

8 suppliers63 claims2,184 services$4.78 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 20

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

DR. JACQUES JEUDY M.D

Urology

1150 NW 14TH ST
MIAMI, FL 33136

Miami-Dade County (305) 243-4000

CAROLE B LAHANA ARNP

Nurse Practitioner

1150 NW 14TH ST
MIAMI, FL 33136

Miami-Dade County (305) 243-6090

JANELLE LEAH CUERVO DO

Internal Medicine

1150 NW 14TH ST
MIAMI, FL 33136

Miami-Dade County (305) 243-4900

ANITA T BLENKE PA-C

Physician Assistant

1150 NW 14TH ST, 6TH FLOOR
MIAMI, FL 33136

Miami-Dade County (305) 243-6732

DR. SWOBODA FOX M.D.

Internal Medicine

1150 NW 14TH ST
MIAMI, FL 33136

Miami-Dade County (305) 243-7900

DR. KAREN KOFFLER M.D.

Family Medicine

1150 NW 14TH ST
MIAMI, FL 33136

Miami-Dade County (305) 243-4751

ENRIQUE CARRAZANA MD

Psychiatry & Neurology (Neurology)

1150 NW 14TH ST, 6TH FLOOR (M851)
MIAMI, FL 33136

Miami-Dade County (305) 243-9068

MAKDA MAJETTE M.D, M.P.H

Family Medicine

1150 NW 14TH ST
MIAMI, FL 33136

Miami-Dade County (305) 243-7570

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 Mark Anthony Gonzalgo's NPI number?

The NPI number for Mark Anthony Gonzalgo is 1174570154. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Mark Anthony Gonzalgo located?

Mark Anthony Gonzalgo practices at 1150 NW 14th St, Miami, FL 33136. The listed phone number is (305) 243-4000.

What is Mark Anthony Gonzalgo's specialty?

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

Is Mark Anthony Gonzalgo enrolled in Medicare?

Yes. Mark Anthony Gonzalgo 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.

What insurance does Mark Anthony Gonzalgo accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Mark Anthony Gonzalgo 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.

When was this NPI record last updated?

The NPPES record for Mark Anthony Gonzalgo was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.