MARIANA GIRON M.D.
NPI 1194110304
Family Medicine in Lutz, FL

Q: What is Mariana Giron's NPI number?

The NPI number for Mariana Giron is 1194110304. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Q: What is Mariana Giron's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mariana Giron was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 April 03, 2015PECOS EnrolledAccepts Medicare Assignment

18560 N DALE MABRY HWY, LUTZ, FL 33548(813) 948-7734(813) 769-9752 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2020, Jun 18, 2019 (2 updates tracked since 2019).

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About Mariana Giron M.d. NPPES

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

MARIANA GIRON M.D. (NPI 1194110304) is an individual family medicine provider in Lutz, Florida, licensed in Florida (ME139816) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2015).

NPPES Registry Identity

NPI1194110304

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARIANA GIRONCredential: M.D.

Location Address18560 N DALE MABRY HWYLutz, FL 33548-7900

Mailing Address18560 N Dale Mabry HwyLutz, FL 33548-7900 · (813) 948-7734 · Fax (813) 769-9752

Phone(813) 948-7734

Fax(813) 769-9752

Sole ProprietorNo

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2015

Enumeration DateApril 3, 2015

Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration

NPPES CertifiedOctober 30, 2024

✔ NPI 1194110304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME139816

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.

18560 N DALE MABRY HWY, Lutz, FL 33548

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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

Mariana Giron 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 ID446589410

PECOS Enrollment IDI20190917002311

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 2

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 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.

56 services20 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.

26 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33548 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%37 patients

Breast Cancer Screening

64%314 patients3/55-star benchmark: 93%

Cervical Cancer Screening

85%1,559 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

17%263 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

46%571 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

54%158 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

31%59 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

34%59 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

92%4,442 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

20%93 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

39%1,649 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

58%1,933 patients3/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 77% · 1,632 patients

Patients screened: 79% · 1,632 patients

45%66 patients2/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

31%260 patients1/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 101 patients

Patients totalRate: 11% · 103 patients

11%103 patients3/55-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.

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Other Providers at the Same Location NPPES 5

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

CYNTHIA BURTON SHEARER APRN

Nurse Practitioner (Family)