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DR. BIANCA SILVA SARMENTO M.D.
NPI 1790079424
Internal Medicine - Critical Care Medicine in Miami, FL

Active since May 28, 2011PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1475 NW 12TH AVE, MIAMI, FL 33136(303) 243-6387(305) 324-0869 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2022, May 6, 2020, Oct 17, 2019 and 3 more (6 updates tracked since 2016).

About Dr. Bianca Silva Sarmento M.d. NPPES

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

DR. BIANCA SILVA SARMENTO M.D. (NPI 1790079424) is an individual critical care medicine provider in Miami, Florida, licensed in Florida (ME154023) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1790079424
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. BIANCA SILVA SARMENTOCredential: M.D.
Location Address1475 NW 12TH AVEMiami, FL 33136-1002
Mailing Address1475 Nw 12th AveMiami, FL 33136-1002 · (303) 243-6387 · Fax (305) 324-0869
Phone(303) 243-6387
Fax(305) 324-0869
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMay 28, 2011
Last NPPES UpdateJuly 27, 20226 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
✔ NPI 1790079424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in FL · ME154023
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME154023 (FL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License ME154023 (FL)
1475 NW 12TH AVE, Miami, FL 33136
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Medica, Oscar Health Maintenance Organization of Florida 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

Dr. Bianca Silva Sarmento 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 ID7416226592
PECOS Enrollment IDI20220628000880
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
195 services91 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
67 services46 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$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.

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
33%45 patients2/55-star benchmark: 92%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
1%116 patients1/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
25%91 patients2/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%291 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%188 patients3/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
37%86 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%215 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%164 patients5/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
77%87 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
56%161 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
56%77 patients3/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
22%130 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 92% · 72 patients
100%72 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%164 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
37%164 patients2/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 87 patients
2%87 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
40%164 patients
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers23 claims23 services$780.91 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.

MS. ALISSETTE NAVEDA ARNP
Nurse Practitioner (Family)
1475 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-5360
WALTER G BRADLEY
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1475 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33136
Miami-Dade County (305) 243-7520
DR. EVAN H SCHLAM MD
Dermatology
1475 NW 12TH AVE, BOX 016960
MIAMI, FL 33136
Miami-Dade County (305) 243-7688
DR. NESTOR RICARDO VILLAMIZAR M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1475 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-2363
MS. LINDSAY MARIE THORNTON MD
Radiology (Vascular & Interventional Radiology)
1475 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-5512
DR. GLENDA C HARRIS PH.D., L.AC.
Acupuncturist
1475 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-1470
IVAYLO MIHAYLOV
Radiology (Radiation Oncology)
1475 NW 12TH AVE, SUITE 1500
MIAMI, FL 33136
Miami-Dade County (305) 243-8223
LOURDES MESTRE VALDES APRN
Nurse Practitioner (Gerontology)
1475 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-4902

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 Bianca Sarmento's NPI number?

The NPI number for Bianca Sarmento is 1790079424. It was assigned to this individual provider in the NPPES registry on May 28, 2011.

Where is Bianca Sarmento located?

Bianca Sarmento practices at 1475 NW 12th Ave, Miami, FL 33136. The listed phone number is (303) 243-6387.

What is Bianca Sarmento's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Bianca Sarmento enrolled in Medicare?

Yes. Bianca Sarmento 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 Bianca Sarmento accept?

Health plans from AmeriHealth Caritas Next, Medica, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Bianca Sarmento 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 Bianca Sarmento affiliated with any hospitals?

According to CMS data, Bianca Sarmento is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Bianca Sarmento was last updated on July 27, 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.