LUIS M BARCENA BLANCH (M.D.) – Infectious Disease Physician, NPI 1144484346
Infectious Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
777 INTERNAL MEDICINE in DE
Provider Addresses for LUIS M BARCENA BLANCH (M.D.)
1501 Middleford Rd
Seaford, DE 199733615
Phone: (302) 629-4569
Fax: (302) 628-4669
Type: Location
1222 N University Dr
Plantation, FL 333224724
Phone: (954) 581-3100
Fax: (954) 581-7773
Type: Location
305, State Road 7, Margate Estates, Margate, Broward County, Florida, 33068, United States
MARGATE, FL 330635737
Phone: (954) 366-4910
Fax: (754) 205-7987
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $1,651.
Total Amount is formed as General ($1,651) + Research ($0) + Ownership ($0) = $1,651.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($293).
Total Amount
$1,651
General + Research + Ownership
Payments
74
Total payment records
General Amount
$1,651
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $293 |
| Merck Sharp & Dohme LLC | $241 |
| ViiV Healthcare Company | $228 |
| Shionogi Inc | $227 |
| GlaxoSmithKline, LLC. | $157 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180709000807 | I | Internal Medicine | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 698 | 247 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 402 | 175 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 241 | 222 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 57 | 56 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 26 | $0 |
Insurance plans in this area (ZIP 19973)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | DE | 11042 | Removal of skin and tissue first 20 sq cm or less | 49 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| U R O L O G Y | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA |
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