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MARCO TEODORO BOLOGNA MD
NPI 1316992365
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Miami, FL

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
8950 N KENDALL DR STE 506W, MIAMI, FL 33176(786) 596-1230(786) 533-9297 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2022, Jan 30, 2022 (2 updates tracked since 2022).

About Marco Teodoro Bologna Md NPPES

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

MARCO TEODORO BOLOGNA MD (NPI 1316992365) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Miami, Florida, licensed in Florida (ME97766) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1316992365
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameMARCO TEODORO BOLOGNACredential: MD
Location Address8950 N KENDALL DR STE 506WMiami, FL 33176-2127
Mailing AddressPo Box 198054Atlanta, GA 30384-8054 · (786) 594-6880
Phone(786) 596-1230
Fax(786) 533-9297
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 19, 20222 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
✔ NPI 1316992365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in FL · ME97766
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License ME97766 (FL), 25242 (AL)
8950 N KENDALL DR STE 506W, Miami, FL 33176
Open in Google Maps ↗

Other Identifiers 7

Other051530105AL · Blue Cross
Medicaid009932919AL
Other010033CI37553AL · Section 1011
Medicaid009932702AL
Other051530103AL · Blue Cross
Medicaid277690100FL
Other02208294MS · Mississippi Medicaid

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marco Teodoro Bologna Md 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 ID648201384
PECOS Enrollment IDI20070328000013
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.

Medicare Billing Reassignment

Medicare enrollment records show Marco Bologna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Medical Group Physicians LLC
0.2 mi
Specialist
8900 N KENDALL DR
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 685 clinicians in this Medicare group
NPI 1891893343 (786) 662-7111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
18 services17 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.
16 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
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.

99.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

JOAN GELACIO SORIA APRN
Nurse Practitioner
8950 N KENDALL DR STE 506W
MIAMI, FL 33176
Miami-Dade County (786) 596-1230
DR. STEVEN J HOFF M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
8950 N KENDALL DR STE 506W
MIAMI, FL 33176
Miami-Dade County (786) 596-1230
ELISA ANN BATISTA ARNP
Nurse Practitioner
8950 N KENDALL DR STE 506W
MIAMI, FL 33176
Miami-Dade County (786) 596-1230
MR. DAVID WILLIAM ROSELLO MSN, APRN, AGACNP-BC
Nurse Practitioner
8950 N KENDALL DR STE 506W
MIAMI, FL 33176
Miami-Dade County (786) 596-1230

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 Marco Bologna's NPI number?

The NPI number for Marco Bologna is 1316992365. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Marco Bologna located?

Marco Bologna practices at 8950 N Kendall Dr Ste 506W, Miami, FL 33176. The listed phone number is (786) 596-1230.

What is Marco Bologna's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Marco Bologna enrolled in Medicare?

Yes. Marco Bologna 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.

Which organization bills Medicare for Marco Bologna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marco Bologna reassigns Medicare benefits to Baptist Health Medical Group Physicians LLC (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marco Bologna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marco Bologna accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Marco Bologna 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 Marco Bologna affiliated with any hospitals?

According to CMS data, Marco Bologna is affiliated with Baptist Hospital Of Miami.

When was this NPI record last updated?

The NPPES record for Marco Bologna was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.