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GAETANO CIANCIO MD, MBA
NPI 1184689051
Transplant Surgery in Miami, FL

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1801 NW 9TH AVE FL 3, HIGHLAND PROFESSIONAL BLDG., MIAMI, FL 33136(305) 355-5111(305) 355-5234 Get Directions Write a Review

NPPES record last updated: February 12, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Gaetano Ciancio Md, Mba NPPES

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

GAETANO CIANCIO MD, MBA (NPI 1184689051) is an individual transplant surgery provider in Miami, Florida, licensed in Florida (ME52984) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1184689051
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameGAETANO CIANCIOCredential: MD, MBA
Location Address1801 NW 9TH AVE FL 3, HIGHLAND PROFESSIONAL BLDG.Miami, FL 33136-1124
Mailing Address1801 Nw 9th Ave Fl 3, Highland Professional Bldg.Miami, FL 33136-1124 · (305) 355-5111 · Fax (305) 355-5234
Phone(305) 355-5111
Fax(305) 355-5234
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateApril 20, 2006
Last NPPES UpdateFebruary 12, 2014
✔ NPI 1184689051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License✔ Licensed in FL · ME52984
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
1801 NW 9TH AVE FL 3, Miami, FL 33136
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Other Identifiers 3

Medicare ID-Type Unspecified27080FL
Medicare UPING07279FL
Medicaid3776093-00FL

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

Gaetano Ciancio Md, Mba 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 ID1456425800
PECOS Enrollment IDI20080801000479
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
318 services57 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.
63 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
46 services37 patients
Transplantation of donor kidney 50360
Transplantation of a donor kidney involves replacing a non-functioning kidney with a healthy one from a donor. This procedure can significantly improve the quality of life for those with serious kidney disease. The new kidney can perform the essential task of filtering blood and removing waste.
22 services22 patients
Preparation of donor kidney for transplantation 50323
Preparation of a kidney for transplantation involves careful evaluation of the donor organ. It includes checking for diseases, ensuring compatibility, and preserving the organ in a cold solution until transplantation. This process ensures the best outcome for the recipient.
17 services17 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.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

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
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers32 claims5,475 services$0.29 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers30 claims6,570 services$0.99 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers28 claims28 services$16.27 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers40 claims49 services$10.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Gaetano Ciancio's NPI number?

The NPI number for Gaetano Ciancio is 1184689051. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Gaetano Ciancio located?

Gaetano Ciancio practices at 1801 NW 9th Ave Fl 3 Highland Professional Bldg., Miami, FL 33136. The listed phone number is (305) 355-5111.

What is Gaetano Ciancio's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Gaetano Ciancio enrolled in Medicare?

Yes. Gaetano Ciancio 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 Gaetano Ciancio 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 Gaetano Ciancio 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 Gaetano Ciancio affiliated with any hospitals?

According to CMS data, Gaetano Ciancio is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Gaetano Ciancio was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.