AMY MARCIA PEARLMAN MD
NPI 1265793152
Urology in Coral Gables, FL

Active since June 06, 2012Opted out of Medicare · through Apr 1, 2027
80.71/100
CMS Quality Rating
475 BILTMORE WAY STE 314, CORAL GABLES, FL 33134(786) 866-7804(786) 272-0501 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 31, 2018, Jun 30, 2017 (2 updates tracked since 2017).

About Amy Marcia Pearlman Md NPPES

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

AMY MARCIA PEARLMAN MD (NPI 1265793152) is an individual urology provider in Coral Gables, Florida, licensed in Florida (ME159292) and active in the NPI registry since June 2012. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265793152
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameAMY MARCIA PEARLMANCredential: MD
Location Address475 BILTMORE WAY STE 314Coral Gables, FL 33134-5749
Mailing Address475 Biltmore Way Ste 314Coral Gables, FL 33134-5749 · (786) 866-7804 · Fax (786) 272-0501
Fax(786) 272-0501
Sole ProprietorNo
Enumeration DateJune 6, 2012
Last NPPES UpdateMay 1, 20252 updates tracked since enumeration
NPPES CertifiedMay 1, 2025
NPI 1265793152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in FL · ME159292 Licensed in NC · 2017-01095 Licensed in IA · MD-45388
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.

475 BILTMORE WAY STE 314, Coral Gables, FL 33134

Secondary Practice Locations 3

Location 1140 Charlois BlvdWinston Salem, NC 27157-4206 · Phone (336) 716-4131
Location 2105 E 9th StCoralville, IA 52241-2209 · Phone (319) 467-2000 · Fax (319) 467-2410
Location 3200 Hawkins DrIowa City, IA 52242 · Phone (319) 356-2421 · Fax (319) 356-3900

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Amy Marcia Pearlman Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 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.

80.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.77
Promoting Interoperability92
Improvement Activities40
Cost57.6

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims1,550 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
10 suppliers35 claims4,504 services$1.69 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 Amy Pearlman's NPI number?

The NPI number for Amy Pearlman is 1265793152. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Amy Pearlman located?

Amy Pearlman practices at 475 Biltmore Way Ste 314, Coral Gables, FL 33134. The listed phone number is (786) 866-7804.

What is Amy Pearlman's specialty?

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

Is Amy Pearlman enrolled in Medicare?

No. Amy Pearlman has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Amy Pearlman was last updated on May 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.