JUAN RENE FRONTERA M.D.
NPI 1679538904
Urology in St Clair Shores, MI

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
20952 E 12 MILE RD, SUITE 200, ST CLAIR SHORES, MI 48081(586) 771-4820(586) 771-6620 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Juan Rene Frontera M.d. NPPES

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

JUAN RENE FRONTERA M.D. (NPI 1679538904) is an individual urology provider in St Clair Shores, Michigan, licensed in Michigan (4301053764) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1679538904
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJUAN RENE FRONTERACredential: M.D.
Location Address20952 E 12 MILE RD, SUITE 200St Clair Shores, MI 48081-3200
Mailing Address20952 E 12 Mile Rd, Suite 200St Clair Shores, MI 48081-3200 · (586) 771-4820 · Fax (586) 771-6620
Fax(586) 771-6620
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateApril 19, 2006
Last NPPES UpdateJuly 28, 2008
NPI 1679538904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MI · 4301053764
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.
20952 E 12 MILE RD, St Clair Shores, MI 48081

Other Names 1

Other Name (5)Juan Rene Frontera-castillo M.d.

Other Identifiers 8

Other3235841007MI · Cigna
OtherF10966MI · Hap
Medicare NSC0219690001MI
Other5733698MI · Aetna
Other132311MI · Priority Health
Medicare PIN0E06273023MI
Medicare UPINF10966MI
Other340019038MI · Railroad Medicare

Accepted 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

Juan Rene Frontera 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 ID7810949062
PECOS Enrollment IDI20050215001077
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 59

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.

Injection, degarelix, 1 mg J9155
Degarelix injection is a medication administered under the skin to manage certain health conditions. It works by reducing specific hormone levels in the body to slow down disease progression. The dosage is 1 mg, and it is typically given by a healthcare professional.
4,800 services20 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,880 services19 patients
Bcg live intravesical instillation, 1 mg J9030
BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.
1,700 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
1,584 services941 patients
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.
1,496 services960 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
701 services486 patients

Hospital Affiliations CMS Care Compare 5

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
13 suppliers75 claims14,020 services$1.73 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
5 suppliers28 claims136 services$1.45 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.

Physical Therapist
20952 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Physical Therapist
20952 E 12 MILE RD, SUITE 110
SAINT CLAIR SHORES, MI 48081
Urology
20952 E 12 MILE RD, SUITE 200
ST CLAIR SHORES, MI 48081
Urology
20952 E 12 MILE RD, SUITE 200
ST CLAIR SHORES, MI 48081
Urology
20952 E 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 48081
Physical Therapist
20952 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Urology
20952 E 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 48081
Specialist
20952 E 12 MILE RD, SUITE 150
ST CLAIR SHORES, MI 48081

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 Juan Frontera's NPI number?

The NPI number for Juan Frontera is 1679538904. It was assigned to this individual provider in the NPPES registry on April 19, 2006. The provider is also known as Juan Rene Frontera-Castillo M.D..

Where is Juan Frontera located?

Juan Frontera practices at 20952 E 12 Mile Rd Suite 200, St Clair Shores, MI 48081. The listed phone number is (586) 771-4820.

What is Juan Frontera's specialty?

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

Is Juan Frontera enrolled in Medicare?

Yes. Juan Frontera 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 Juan Frontera accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Juan Frontera 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 Juan Frontera affiliated with any hospitals?

According to CMS data, Juan Frontera is affiliated with Henry Ford Macomb Hospital, Beaumont Hospital - Grosse Pointe, Ascension St John Hospital, Ascension Providence Rochester Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Juan Frontera was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.