MARC C. GITTELMAN M.D.
NPI 1174587604
Urology in Aventura, FL

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
21150 BISCAYNE BLVD, SUITE 404, AVENTURA, FL 33180(305) 466-9111(305) 466-9127 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marc C. Gittelman M.d. NPPES

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

MARC C. GITTELMAN M.D. (NPI 1174587604) is an individual urology provider in Aventura, Florida, licensed in Florida (ME53015) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1983).

NPPES Registry Identity

NPI1174587604
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMARC C. GITTELMANCredential: M.D.
Location Address21150 BISCAYNE BLVD, SUITE 404Aventura, FL 33180-1226
Mailing Address2234 Colonial Blvd, Managed Care DeptFort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385
Fax(305) 466-9127
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1983
Enumeration DateApril 13, 2006
Last NPPES UpdateApril 10, 2017
NPI 1174587604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in FL · ME53015
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.

Also ListedSpecialistTaxonomy 174400000X · License ME53015 (FL)
21150 BISCAYNE BLVD, Aventura, FL 33180

Other Identifiers 13

OtherP00721039FL · Rr Medicare
Medicare UPIND51418FL
Other1193060FL · Wellcare
Other4068398FL · Aetna Provider #
Medicare PIN05776RFL
Other05776FL · Bcbs Fl
Medicaid001601400FL
OtherP0003164FL · Florida Healthcare Plus
OtherP01730303FL · Simply Healthcare
Medicare PIN05776XFL
Medicare PIN21199FFL
OtherQMP000004462340FL · Molina
Medicare PIN05776YFL

Accepted 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

Marc C. Gittelman 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 ID9638251705
PECOS Enrollment IDI20080128000757
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 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.
232 services141 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.
222 services129 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.
173 services104 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.
30 services30 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.
27 services23 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.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33180 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.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

e-Prescribing
95%275 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%511 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.

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.

Dermatology
21150 BISCAYNE BLVD, STE 102
AVENTURA, FL 33180
General Practice
21150 BISCAYNE BLVD, SUITE 306
MIAMI, FL 33180
Urology
21150 BISCAYNE BLVD, 404
AVENTURA, FL 33180
Allergy & Immunology
21150 BISCAYNE BLVD, SUITE 408
AVENTURA, FL 33180
Surgery
21150 BISCAYNE BLVD, 400
AVENTURA, FL 33180
Health Maintenance Organization
21150 BISCAYNE BLVD, 106
AVENTURA, FL 33180
Dentist (Oral and Maxillofacial Pathology)
21150 BISCAYNE BLVD, SUITE 401
AVENTURA, FL 33180
Urology
21150 BISCAYNE BLVD, 404
AVENTURA, FL 33180

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 Marc Gittelman's NPI number?

The NPI number for Marc Gittelman is 1174587604. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Marc Gittelman located?

Marc Gittelman practices at 21150 Biscayne Blvd Suite 404, Aventura, FL 33180. The listed phone number is (305) 466-9111.

What is Marc Gittelman's specialty?

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

Is Marc Gittelman enrolled in Medicare?

Yes. Marc Gittelman 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 Marc Gittelman accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Marc Gittelman 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 Marc Gittelman was last updated on April 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.