MICHAEL S URBAN MD
NPI 1831105485
Internal Medicine - Gastroenterology in Lake Worth, FL

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
6944 LAKE WORTH RD, 2ND FLOOR, LAKE WORTH, FL 33467(561) 434-0060(561) 434-0598 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael S Urban Md NPPES

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

MICHAEL S URBAN MD (NPI 1831105485) is an individual gastroenterology provider in Lake Worth, Florida, licensed in Florida (ME0057388) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1831105485
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMICHAEL S URBANCredential: MD
Location Address6944 LAKE WORTH RD, 2ND FLOORLake Worth, FL 33467-2948
Mailing AddressP.o. Box 740177Boynton Beach, FL 33474-0177 · (561) 740-2900 · Fax (561) 434-0598
Fax(561) 434-0598
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateAugust 1, 2006
Last NPPES UpdateJanuary 19, 2017
NPI 1831105485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · ME0057388
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
6944 LAKE WORTH RD, Lake Worth, FL 33467

Other Identifiers 3

Medicaid063242200FL
Medicare UPIND91873
Medicare PIN10291U

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

Michael S Urban 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 ID143354761
PECOS Enrollment IDI20100909001014
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 8

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 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.
472 services236 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.
274 services189 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
62 services60 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.
49 services49 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
40 services40 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100002
Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County
Emergency services Birthing friendly

Wellington Regional Medical Center

Acute Care Hospitals · Wellington, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100275
Location10101 Forest Hill BlvdWellington, FL 33414 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33467 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Gastroenterology)
6944 LAKE WORTH RD, 2ND FLOOR
LAKE WORTH, FL 33467
Internal Medicine (Gastroenterology)
6944 LAKE WORTH RD, 2ND FLOOR
LAKE WORTH, FL 33467
Internal Medicine (Gastroenterology)
6944 LAKE WORTH RD, 2ND FLOOR
LAKE WORTH, FL 33467
Internal Medicine (Gastroenterology)
6944 LAKE WORTH RD, 2ND FLOOR
LAKE WORTH, FL 33467
Internal Medicine (Gastroenterology)
6944 LAKE WORTH RD, 2ND FLOOR
LAKE WORTH, FL 33467
Internal Medicine (Gastroenterology)
6944 LAKE WORTH RD, 2ND FLOOR
LAKE WORTH, FL 33467

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 Michael Urban's NPI number?

The NPI number for Michael Urban is 1831105485. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Michael Urban located?

Michael Urban practices at 6944 Lake Worth Rd 2nd Floor, Lake Worth, FL 33467. The listed phone number is (561) 434-0060.

What is Michael Urban's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Urban enrolled in Medicare?

Yes. Michael Urban 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 Michael Urban accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Michael Urban 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 Michael Urban affiliated with any hospitals?

According to CMS data, Michael Urban is affiliated with Bethesda Hospital Inc and Wellington Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Urban was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.