ARTURO BALANDRA MD
NPI 1982760369
Urology in Bonita Springs, FL

Q: What is Arturo Balandra's NPI number?

The NPI number for Arturo Balandra is 1982760369. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Q: What is Arturo Balandra'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 Arturo Balandra was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 29, 2006PECOS EnrolledAccepts Medicare Assignment

99.15/100

CMS Quality Rating

26800 S TAMIAMI TRL, SUITE 250, BONITA SPRINGS, FL 34134(239) 434-8565(239) 434-8569 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Arturo Balandra Md NPPES

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

ARTURO BALANDRA MD (NPI 1982760369) is an individual urology provider in Bonita Springs, Florida, licensed in Florida (ME109228) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2006).

NPPES Registry Identity

NPI1982760369

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameARTURO BALANDRACredential: MD

Location Address26800 S TAMIAMI TRL, SUITE 250Bonita Springs, FL 34134-4349

Mailing Address2234 Colonial Blvd, Attn: Managed Care Dept.Fort Myers, FL 33907-1412 · (239) 931-7342

Phone(239) 434-8565

Fax(239) 434-8569

Sole ProprietorNo

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2006

Enumeration DateDecember 29, 2006

Last NPPES UpdateDecember 11, 2014

✔ NPI 1982760369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in FL · ME109228✔ Licensed in PA · MT188365

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.

26800 S TAMIAMI TRL, Bonita Springs, FL 34134

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Other Identifiers 9

Other9036668FL · Aetna

OtherP959228FL · Optimum

Other14CV6FL · Bcbs Of Fl

Other3298242FL · United Healthcare

Medicaid003495400FL

Medicare PINEZ764ZFL

OtherP996671FL · Freedom

Other6677242FL · Cigna

OtherP00956370FL · Railroad Medicare

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Arturo Balandra 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 ID9133397177

PECOS Enrollment IDI20110719000450

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 17

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, 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.

2,401 services12 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.

736 services540 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.

659 services510 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.

610 services444 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.

516 services412 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

205 services33 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.

79 services79 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.

68 services63 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

45 services35 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.

37 services37 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

25 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

24 services15 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.

23 services22 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

15 services15 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

15 services15 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.

15 services11 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Naples Community Hospital

Acute Care Hospitals · Naples, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100018

Location350 7th St NNaples, FL 34102 · Collier County

Emergency services Birthing friendly

Physicians Regional Medical Center - Pine Ridge

Acute Care Hospitals · Naples, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100286

Location6101 Pine Ridge RoadNaples, FL 34119 · Collier County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34134 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

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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.

99.15/100

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

Individually scored

Promoting Interoperability

Improvement Activities

Reported Quality Measures

e-Prescribing

98%530 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

99%854 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

3 suppliers12 claims4,950 services$0.10 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers31 claims7,870 services$1.71 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

2 suppliers43 claims10,740 services$5.26 avg. paid by Medicare

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

DME-Orthotic Devices · category DF000N

1 supplier20 claims20 services$38.25 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 10

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

DR. DAVID STEPHEN FREITAG M.D.

Dermatology (MOHS-Micrographic Surgery)

26800 S TAMIAMI TRL, SUITE 360
BONITA SPRINGS, FL 34134

Lee County (239) 495-1234

VICTORIA L YORKE MD.

Family Medicine

26800 S TAMIAMI TRL, SUITE 340
BONITA SPRINGS, FL 34134

Lee County (239) 495-4490

SKIN CANCER CENTER OF NAPLES LLC

Nurse Practitioner (Family)

26800 S TAMIAMI TRL, SUITE 360
BONITA SPRINGS, FL 34134

Lee County (239) 495-1234

DR. JOEL ROBERT SUKONIK MD

Family Medicine

26800 S TAMIAMI TRL, #150
BONITA SPRINGS, FL 34134

Lee County (239) 344-2309

LIZET BALAZI

Physician Assistant

26800 S TAMIAMI TRL, #310
BONITA SPRINGS, FL 34134

Lee County (239) 949-0742

DR. MARK DAVID BRONNER DMD

Dentist (General Practice)

26800 S TAMIAMI TRL, 240
BONITA SPRINGS, FL 34134

Lee County (239) 498-1105

BRIAN G. FABIAN MD PA

Specialist

26800 S TAMIAMI TRL, #310
BONITA SPRINGS, FL 34134

Lee County (239) 949-0742

MRS. ERIN LAKE ARNP, FNP-BC

Nurse Practitioner (Family)

26800 S TAMIAMI TRL, SUITE 340
BONITA SPRINGS, FL 34134

Lee County (239) 495-4490

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 Arturo Balandra's NPI number?

The NPI number for Arturo Balandra is 1982760369. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Arturo Balandra located?

Arturo Balandra practices at 26800 S Tamiami Trl Suite 250, Bonita Springs, FL 34134. The listed phone number is (239) 434-8565.

What is Arturo Balandra's specialty?

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

Is Arturo Balandra enrolled in Medicare?

Yes. Arturo Balandra 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 Arturo Balandra accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Arturo Balandra 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 Arturo Balandra affiliated with any hospitals?

According to CMS data, Arturo Balandra is affiliated with Lee Memorial Hospital, Naples Community Hospital and Physicians Regional Medical Center - Pine Ridge.

When was this NPI record last updated?

The NPPES record for Arturo Balandra was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.