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DR. DAMIAN PORTELA M.D.
NPI 1194703330
Urology in Wellington, FL

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3347 STATE ROAD 7, SUITE 101, WELLINGTON, FL 33449(561) 790-2111(561) 296-0436 Get Directions Write a Review

NPPES record last updated: October 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2016, Feb 3, 2016, Jan 20, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Damian Portela M.d. NPPES

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

DR. DAMIAN PORTELA M.D. (NPI 1194703330) is an individual urology provider in Wellington, Florida, licensed in Florida (ME94172) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1194703330
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. DAMIAN PORTELACredential: M.D.
Location Address3347 STATE ROAD 7, SUITE 101Wellington, FL 33449-8095
Mailing Address2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept.Fort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385
Phone(561) 790-2111
Fax(561) 296-0436
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 6, 2006
Last NPPES UpdateOctober 13, 20164 updates tracked since enumeration
✔ NPI 1194703330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME94172
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.
3347 STATE ROAD 7, Wellington, FL 33449
Open in Google Maps ↗

Other Identifiers 10

OtherP929225FL · Optimum
Other11147FL · Dimension Health
Other1242202FL · Wellcare
OtherP01250FL · Freedom
Other32647FL · Bcbs
Other1062405FL · Careplus
OtherP01596411FL · Rr Medicare
Medicare PINU5895XFL
Other7451633FL · Aetna
Medicare UPINI21777FL

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

Dr. Damian Portela 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 ID7416913454
PECOS Enrollment IDI20051115000888
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.

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.
196 services142 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.
188 services144 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.
44 services42 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.
25 services21 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.
20 services20 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Wellington Regional Medical Center

Acute Care Hospitals · Wellington, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100275
Location10101 Forest Hill BlvdWellington, FL 33414 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33449 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
95%1,467 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%894 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

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers23 claims4,500 services$1.70 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. CHANDRA VENUGOPAL M.D.
Internal Medicine (Cardiovascular Disease)
3347 STATE ROAD 7, SUITE 203
WELLINGTON, FL 33449
Palm Beach County (561) 793-6100
SFM UROLOGY II
Urology
3347 STATE ROAD 7, SUITE 101
WELLINGTON, FL 33449
Palm Beach County (561) 790-2111
DR. RAFAEL ROBERTO LOPEZ M.D.
Urology
3347 STATE ROAD 7, SUITE 101
WELLINGTON, FL 33449
Palm Beach County (561) 790-2111
DR. NEERAV S SHAH MD
Internal Medicine (Cardiovascular Disease)
3347 STATE ROAD 7, STE 203
WELLINGTON, FL 33449
Palm Beach County (561) 793-6100
DR. SEAN LALL SAWH MD
Urology
3347 STATE ROAD 7, SUITE 101
WELLINGTON, FL 33449
Palm Beach County (561) 790-2111
DR. JEAN FOUCAULD MD
Internal Medicine (Cardiovascular Disease)
3347 STATE ROAD 7, STE. 203
WELLINGTON, FL 33449
Palm Beach County (561) 793-6100
DR. CHRISTINE A. KLEPP M.D.
Specialist
3347 STATE ROAD 7, SUITE 200
WELLINGTON, FL 33449
Palm Beach County (561) 333-8460
DR. EDWARD RENE BECKER M.D.
Urology
3347 STATE ROAD 7, SUITE 101
WELLINGTON, FL 33449
Palm Beach County (561) 790-2111

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 Damian Portela's NPI number?

The NPI number for Damian Portela is 1194703330. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Damian Portela located?

Damian Portela practices at 3347 State Road 7 Suite 101, Wellington, FL 33449. The listed phone number is (561) 790-2111.

What is Damian Portela's specialty?

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

Is Damian Portela enrolled in Medicare?

Yes. Damian Portela 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 Damian Portela accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list Damian Portela 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 Damian Portela affiliated with any hospitals?

According to CMS data, Damian Portela is affiliated with Hca Florida Jfk Hospital and Wellington Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Damian Portela was last updated on October 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.