DR. RODRIGO A BOLANOS (MD) – Cardiovascular Disease Physician, NPI 1962504456

DR. RODRIGO A BOLANOS (MD) is a healthcare provider. based in Clearwater, Florida. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. ME121741 (FL). The NPI Number for DR. RODRIGO A BOLANOS (MD) is 1962504456

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. RODRIGO A BOLANOS (MD)
NPI
1962504456
Phone
(727) 532-1355
Address
2995 DREW ST FL 2
Enumeration Date
4 September 2006
Last Update Date
6 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
7277255060
Graduation Year
2000 (26 years ago)
PAC ID
6103999396
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20141111000136
Address ID
FL337631726CL2461XRDXX301

Contacts

Secure Messaging
RodrigoA.Bolanos@direct.mybaycare.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

298 CARDIAC ELECTROPHYSIOLOGY in FL

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Provider Addresses for DR. RODRIGO A BOLANOS (MD)

  • Drew Street, Bay Park Apartments, Clearwater, Pinellas County, Florida, 33755, United States

    CLEARWATER, FL 337593012

    Phone: (727) 532-1355

    Fax: (813) 635-2613

    Type: Mailing

  • 200 AVENUE F NE STE 9118

    WINTER HAVEN, FL 338814131

    Phone: (863) 292-4004

    Fax: (863) 292-4005

    Type: Mailing

  • Avenue F Northeast, Winter Haven, Polk County, Florida, 33881, United States

    WINTER HAVEN, FL 338814131

    Phone: (863) 297-1777

    Fax: (863) 297-1756

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 110 Open Payments records for all available years, with a total value of $29,866.

Total Amount is formed as General ($29,866) + Research ($0) + Ownership ($0) = $29,866.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($27,750).

Total Amount

$29,866

General + Research + Ownership

Payments

110

Total payment records

General Amount

$29,866

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-11-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141111000136ICardiac ElectrophysiologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,311943$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report740370$0
99214Established patient office or other outpatient visit, 30-39 minutes261195$0
99213Established patient office or other outpatient visit, 20-29 minutes156139$0
93288Evaluation of single, dual, multiple lead or leadless pacemaker system12077$0
View full utilization report →

Insurance plans in this area (ZIP 33759)

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Provider's Procedures

DR. RODRIGO A BOLANOS (MD) performs procedures in CARDIAC ELECTROPHYSIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC ELECTROPHYSIOLOGYFL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report467352
CARDIAC ELECTROPHYSIOLOGYFL93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report6744
CARDIAC ELECTROPHYSIOLOGYFL93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report3424

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406753623View full group profile

Reviews

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Frequently asked questions

Is DR. RODRIGO A BOLANOS (MD) listed with a National Provider Identifier?
Yes — DR. RODRIGO A BOLANOS (MD) has NPI 1962504456 on file in the registry.
Is DR. RODRIGO A BOLANOS (MD) shown as active in public data?
Registry records indicate DR. RODRIGO A BOLANOS (MD) maintains an active NPI.
What kind of doctor is DR. RODRIGO A BOLANOS (MD)?
DR. RODRIGO A BOLANOS (MD) is associated with Cardiovascular Disease Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. RODRIGO A BOLANOS (MD) located near Clearwater?
DR. RODRIGO A BOLANOS (MD) currently maps to Clearwater, Florida in this extract.
Does DR. RODRIGO A BOLANOS (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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