MARIO BLANCO (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1891754917
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
960 PATHOLOGY in FL
Provider Addresses for MARIO BLANCO (MD)
2815 Greenbriar Blvd
Wellington, FL 334147157
Phone: (561) 204-5455
Fax: (561) 204-5455
Type: Location
2815, Greenbriar Boulevard, Aero Club, Wellington, Palm Beach County, Florida, 33414, United States
WELLINGTON, FL 334147157
Phone: (561) 204-5455
Fax: (561) 204-5455
Type: Mailing
2100, Prevatt Street, Mount Homer, Eustis, Lake County, Florida, 32627, United States
EUSTIS, FL 327266130
Phone: (352) 308-8903
Fax: (352) 460-0785
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-07-13
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 |
|---|---|---|---|---|
| I20040713001080 | I | Pathology | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 3,354 | 897 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 1,891 | 610 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 1,455 | 584 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 562 | 514 | $0 |
Insurance plans in this area (ZIP 33414)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | FL | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 1213 | 843 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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