DR. SANDRA H BOLANOS MD, PHD
NPI 1992968853
Family Medicine in Port Saint Lucie, FL

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1730 SW SAINT LUCIE WEST BLVD, PORT SAINT LUCIE, FL 34986(772) 873-8155 Get Directions Write a Review

NPPES record last updated: March 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2019, Jan 29, 2017 (2 updates tracked since 2017).

About Dr. Sandra H Bolanos Md, Phd NPPES

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

DR. SANDRA H BOLANOS MD, PHD (NPI 1992968853) is an individual family medicine provider in Port Saint Lucie, Florida, licensed in Florida (ME137622) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Indian River Hospital, and maintains a secondary practice location in Virginia Beach.

NPPES Registry Identity

NPI1992968853
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SANDRA H BOLANOSCredential: MD, PHD
Location Address1730 SW SAINT LUCIE WEST BLVDPort Saint Lucie, FL 34986-2504
Mailing Address1730 Sw Saint Lucie West BlvdPort Saint Lucie, FL 34986-2504 · (772) 873-8155
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2007
Enumeration DateJuly 9, 2008
Last NPPES UpdateMarch 10, 20192 updates tracked since enumeration
NPI 1992968853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in FL · ME137622 Licensed in VA · 0116019794
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 89982967 (VA)
1730 SW SAINT LUCIE WEST BLVD, Port Saint Lucie, FL 34986

Secondary Practice Location 1

Location 13745 Holland RdVirginia Beach, VA 23452-2847 · Phone (757) 395-1700 · Fax (757) 507-9004

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

Dr. Sandra H Bolanos Md, Phd 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 ID6406090349
PECOS Enrollment IDI20190222001450
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 5

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.
445 services397 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.
157 services146 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.
93 services93 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.
53 services52 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.
38 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34986 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Physician Assistant
1730 SW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
Clinic/Center (Urgent Care)
1730 SW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986

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 Sandra Bolanos's NPI number?

The NPI number for Sandra Bolanos is 1992968853. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Sandra Bolanos located?

Sandra Bolanos practices at 1730 SW Saint Lucie West Blvd, Port Saint Lucie, FL 34986. The listed phone number is (772) 873-8155.

What is Sandra Bolanos's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sandra Bolanos enrolled in Medicare?

Yes. Sandra Bolanos 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 Sandra Bolanos accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Sandra Bolanos 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 Sandra Bolanos affiliated with any hospitals?

According to CMS data, Sandra Bolanos is affiliated with Cleveland Clinic Indian River Hospital and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Sandra Bolanos was last updated on March 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.