DR. ANTONIO J BELTRAN MD
NPI 1811940596
Urology in Gainesville, FL

Q: What is Antonio Beltran's NPI number?

The NPI number for Antonio Beltran is 1811940596. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Antonio Beltran's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Antonio Beltran was last updated on April 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment

86.77/100

CMS Quality Rating

1143 NW 64TH TER, GAINESVILLE, FL 32605(352) 331-1201(352) 331-5273 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2026, May 13, 2024 (2 updates tracked since 2024).

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About Dr. Antonio J Beltran Md NPPES

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

DR. ANTONIO J BELTRAN MD (NPI 1811940596) is an individual urology provider in Gainesville, Florida, licensed in Florida (ME76056) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and is a graduate of Cincinnati College Of Medicine And Surgery (1992).

NPPES Registry Identity

NPI1811940596

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. ANTONIO J BELTRANCredential: MD

Location Address1143 NW 64TH TERGainesville, FL 32605-4218

Mailing Address1143 Nw 64th TerGainesville, FL 32605-4218 · (352) 331-1201 · Fax (352) 331-5273

Phone(352) 331-1201

Fax(352) 331-5273

Sole ProprietorNo

Medical School CMSCincinnati College Of Medicine And SurgeryGraduated 1992

Enumeration DateMay 17, 2006

Last NPPES UpdateApril 23, 20262 updates tracked since enumeration

NPPES CertifiedApril 23, 2026

✔ NPI 1811940596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in FL · ME76056✔ Licensed in NE · 36111

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.

1143 NW 64TH TER, Gainesville, FL 32605

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Other Identifiers 1

Medicaid276651500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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. Antonio J Beltran 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 ID1557319852

PECOS Enrollment IDI20050105000029, I20240326002122

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 13

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.

176 services137 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.

169 services151 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.

108 services88 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

67 services51 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.

65 services65 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

63 services50 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.

58 services58 patients

Manual urinalysis test with examination using microscope, non-automated 81000

A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.

55 services37 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

42 services38 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

38 services31 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

27 services23 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100156

Location340 NW Commerce DrLake City, FL 32055 · Columbia County

Emergency services

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100204

Location6500 W Newberry RdGainesville, FL 32605 · Alachua County

Emergency services Birthing friendly

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280003

Location1600 South 48th StLincoln, NE 68506 · Lancaster County

Emergency services Birthing friendly

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280020

Location555 South 70th StLincoln, NE 68510 · Lancaster County

Emergency services Birthing friendly

Phelps Memorial Health Center

Critical Access Hospitals · Holdrege, NE

OwnershipVoluntary non-profit - Private

CMS Certification Number281362

Location1215 Tibbals StHoldrege, NE 68949 · Phelps County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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.

86.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

75.94

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

53%234 patients3/55-star benchmark: 93%

Cervical Cancer Screening

52%184 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

49%88 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

54%135 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

89%3,680 patients4/55-star benchmark: 100%

e-Prescribing

98%1,656 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

81%2,023 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

3%2,015 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

18%2,877 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 99% · 1,123 patients

Patients screened: 99% · 1,123 patients

98%80 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

83%1,361 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

76%131 patients3/55-star benchmark: 91%

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 5

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

3 suppliers30 claims3,780 services$1.74 avg. paid by Medicare

Intermittent urinary catheter, with insertion supplies A4353

DME-Orthotic Devices · category DF008N

2 suppliers16 claims3,116 services$6.74 avg. paid by Medicare

External urethral clamp or compression device (not to be used for catheter clamp), each A4356

DME-Orthotic Devices · category DF000N

2 suppliers11 claims11 services$44.25 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

7 suppliers30 claims68 services$9.37 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

3 suppliers17 claims43 services$6.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 15

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

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