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DR. EDGARDO J APONTE MD
NPI 1497718720
Obstetrics & Gynecology - Gynecology in Lakewood Ranch, FL

Active since April 08, 2006PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
8340 LAKEWOOD RANCH BLVD, SUITE 240, LAKEWOOD RANCH, FL 34202(941) 907-3008(941) 373-1831 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Edgardo J Aponte Md NPPES

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

DR. EDGARDO J APONTE MD (NPI 1497718720) is an individual gynecology provider in Lakewood Ranch, Florida, licensed in Florida (ME113010) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Lakewood Ranch Medical Center, and is a graduate of University Of Puerto Rico School Of Medicine (1990).

NPPES Registry Identity

NPI1497718720
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. EDGARDO J APONTECredential: MD
Location Address8340 LAKEWOOD RANCH BLVD, SUITE 240Lakewood Ranch, FL 34202-5180
Mailing Address8340 Lakewood Ranch Blvd, Suite 240Lakewood Ranch, FL 34202-5180 · (941) 907-3008 · Fax (941) 373-1831
Phone(941) 907-3008
Fax(941) 373-1831
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1990
Enumeration DateApril 8, 2006
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1497718720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in FL · ME113010
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License ME113010 (FL)
8340 LAKEWOOD RANCH BLVD, Lakewood Ranch, FL 34202
Open in Google Maps ↗

Other Identifiers 1

Medicaid008488300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Dr. Edgardo J Aponte 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 ID7012166325
PECOS Enrollment IDI20121002000313
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 Edgardo Aponte reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Woman Care, LLC
40 mi
Obstetrics & Gynecology
4010 W BOY SCOUT BLVD STE 500
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 802 clinicians in this Medicare group
NPI 1386823243 (561) 300-2410

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 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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
37 services37 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
37 services37 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.
29 services24 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
20 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Lakewood Ranch Medical Center

Acute Care Hospitals · Bradenton, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100299
Location8330 Lakewood Ranch BlvdBradenton, FL 34202 · Manatee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34202 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
91%437 patients4/55-star benchmark: 93%
Cervical Cancer Screening
94%1,280 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
31%67 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
25%662 patients2/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
97%2,060 patients4/55-star benchmark: 100%
e-Prescribing
97%351 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%1,326 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
58%1,972 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,348 patients
0%1,348 patients
Provide Patients Electronic Access to Their Health Information
96%473 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.

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.

KELLY DUGGIN MD
Family Medicine
8340 LAKEWOOD RANCH BLVD, SUITE 210
BRADENTON, FL 34202
Manatee County (941) 782-2800
LAKEWOOD RANCH MEDICAL GROUP LLC
Family Medicine
8340 LAKEWOOD RANCH BLVD, SUITE 140
LAKEWOOD RANCH, FL 34202
Manatee County (941) 782-2800
HEATHER AMANDA NALU ARNP, NP-C
Nurse Practitioner (Family)
8340 LAKEWOOD RANCH BLVD
LAKEWOOD RANCH, FL 34202
Manatee County (941) 782-2830
DR. STEVEN LIPMAN MD
Radiology (Diagnostic Radiology)
8340 LAKEWOOD RANCH BLVD
BRADENTON, FL 34202
Manatee County (941) 782-3053
FLORIDA WOMAN CARE, LLC
Obstetrics & Gynecology
8340 LAKEWOOD RANCH BLVD, SUITE 240
LAKEWOOD RANCH, FL 34202
Manatee County (941) 907-3008
PANEL OF EKG - LAKEWOOD
Internal Medicine (Cardiovascular Disease)
8340 LAKEWOOD RANCH BLVD
BRADENTON, FL 34202
Manatee County (941) 365-8532
LAKEWOOD RANCH PEDIATRICS
Specialist
8340 LAKEWOOD RANCH BLVD, SUITE 120
BRADENTON, FL 34202
Manatee County (941) 907-9751
MR. ROBERT H PAISIE PT,DPT,OCS,MTC
Physical Therapist
8340 LAKEWOOD RANCH BLVD
LAKEWOOD RANCH, FL 34202
Manatee County (941) 306-5856

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 Edgardo Aponte's NPI number?

The NPI number for Edgardo Aponte is 1497718720. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Where is Edgardo Aponte located?

Edgardo Aponte practices at 8340 Lakewood Ranch Blvd Suite 240, Lakewood Ranch, FL 34202. The listed phone number is (941) 907-3008.

What is Edgardo Aponte's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Edgardo Aponte enrolled in Medicare?

Yes. Edgardo Aponte 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 Edgardo Aponte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgardo Aponte reassigns Medicare benefits to Florida Woman Care, LLC (Tampa, 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 Edgardo Aponte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edgardo Aponte accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 3 other insurers list Edgardo Aponte 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 Edgardo Aponte affiliated with any hospitals?

According to CMS data, Edgardo Aponte is affiliated with Lakewood Ranch Medical Center.

When was this NPI record last updated?

The NPPES record for Edgardo Aponte was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.