ALBERTO PINZON ARDILA (MD) – Epilepsy Physician, NPI 1154643120
Epilepsy Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
30 EPILEPTOLOGISTS in FL
Provider Addresses for ALBERTO PINZON ARDILA (MD)
9055 SW 87TH AVE STE 100
MIAMI, FL 331762306
Phone: (305) 596-2080
Fax: (305) 351-7905
Type: Location
PO BOX 160010
HIALEAH, FL 330160001
Phone: (786) 924-1311
Fax: (786) 924-1313
Type: Mailing
4400 Broadway Blvd Ste 520
Kansas City, MO 641113342
Phone: (816) 960-7600
Fax: (816) 960-7699
Type: Location
200, Southwest 87th Court, Miami-Dade County, Florida, 33174, United States
MIAMI, FL 331762317
Phone: (305) 596-2080
Fax: (305) 351-7905
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 488 Open Payments records for all available years, with a total value of $56,621.
Total Amount is formed as General ($56,621) + Research ($0) + Ownership ($0) = $56,621.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: UCB, Inc. ($24,983).
Total Amount
$56,621
General + Research + Ownership
Payments
488
Total payment records
General Amount
$56,621
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $24,983 |
| SK Life Science, Inc. | $15,874 |
| LivaNova USA, Inc. | $3,377 |
| JAZZ PHARMACEUTICALS INC. | $2,606 |
| Abbott Laboratories | $1,596 |
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: 2025-12-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20101214000375 | I | Epileptologists | FL | TBD |
| I20251215001280 | I | Epileptologists | MO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 288 | 140 | $0 |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 250 | 219 | $0 |
| 95720 | Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional | 153 | 68 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 125 | 94 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 82 | 82 | $0 |
Insurance plans in this area (ZIP 33176)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | FL | 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 69 | 68 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MO | |
| Diagnostic Radiology | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine | MO | |
| Cardiovascular Disease (Cardiology) | KS | |
| Family Practice | MO | |
| Hospitalist, Internal Medicine | MO | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| - | MO |
Reviews
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