1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Family Medicine
  6. NPI Profile

TONY BIEN-AIME M.D.
NPI 1275529067
Family Medicine - Adult Medicine in Miami, FL

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
19503 NW 57TH AVE, SUITE A, MIAMI, FL 33055(305) 621-8080(305) 624-2671 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tony Bien-aime M.d. NPPES

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

TONY BIEN-AIME M.D. (NPI 1275529067) is an individual adult medicine provider in Miami, Florida, licensed in Florida (ME0056597) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital West, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1275529067
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameTONY BIEN-AIMECredential: M.D.
Location Address19503 NW 57TH AVE, SUITE AMiami, FL 33055-4709
Mailing Address19503 Nw 57th Ave, Suite AMiami, FL 33055-4709 · (305) 621-8080 · Fax (305) 624-2671
Phone(305) 621-8080
Fax(305) 624-2671
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJuly 29, 2010
✔ NPI 1275529067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in FL · ME0056597
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
19503 NW 57TH AVE, Miami, FL 33055
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE61648FL
Medicaid063568500FL
Medicare ID-Type Unspecified10575ZFL · Medicare Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, 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

Tony Bien-aime 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 ID7810213188
PECOS Enrollment IDI20170201001260
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.
104 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100281
Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33055 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers12 claims32 services$6.09 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$5.27 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 2

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

ACADIA MEDICAL CENTER, PA
Internal Medicine
19503 NW 57TH AVE, SUITE A
MIAMI GARDENS, FL 33055
Miami-Dade County (305) 621-8080
GEORGE CARRE M.D.
Internal Medicine
19503 NW 57TH AVE, SUITE A
MIAMI, FL 33055
Miami-Dade County (305) 621-8080

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 Tony Bien-aime's NPI number?

The NPI number for Tony Bien-aime is 1275529067. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Tony Bien-aime located?

Tony Bien-aime practices at 19503 NW 57th Ave Suite A, Miami, FL 33055. The listed phone number is (305) 621-8080.

What is Tony Bien-aime's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Tony Bien-aime enrolled in Medicare?

Yes. Tony Bien-aime 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 Tony Bien-aime accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Tony Bien-aime 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 Tony Bien-aime affiliated with any hospitals?

According to CMS data, Tony Bien-aime is affiliated with Memorial Hospital West.

When was this NPI record last updated?

The NPPES record for Tony Bien-aime was last updated on July 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.