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LUIS R GARCIA-MAYOL MD
NPI 1003816463
Internal Medicine - Nephrology in Coral Gables, FL

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
83.08/100
CMS Quality Rating
747 PONCE DE LEON BLVD, SUITE 605, CORAL GABLES, FL 33134(305) 445-4535(305) 441-1879 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Luis R Garcia-mayol Md NPPES

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

LUIS R GARCIA-MAYOL MD (NPI 1003816463) is an individual nephrology provider in Coral Gables, Florida, licensed in Florida (ME0037831) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1003816463
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameLUIS R GARCIA-MAYOLCredential: MD
Location Address747 PONCE DE LEON BLVD, SUITE 605Coral Gables, FL 33134-2049
Mailing Address747 Ponce De Leon Blvd, Suite 605Coral Gables, FL 33134-2049 · (305) 445-4535 · Fax (305) 441-1879
Phone(305) 445-4535
Fax(305) 441-1879
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateJuly 28, 2005
Last NPPES UpdateOctober 21, 2019
✔ NPI 1003816463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in FL · ME0037831
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

747 PONCE DE LEON BLVD, Coral Gables, FL 33134
Open in Google Maps ↗

Other Identifiers 1

Medicaid065186900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Luis R Garcia-mayol Md 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 ID4082794714
PECOS Enrollment IDI20110518000553
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

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 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.
82 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

83.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.91
Promoting Interoperability100
Improvement Activities40
Cost64.02

Reported Quality Measures

Breast Cancer Screening
0%250 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%96 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
1%177 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
52%806 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%331 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
17%331 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%3,144 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%1,242 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%1,477 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,470 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
15%2,899 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,092 patients
0%1,092 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%478 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,264 patients
Patients totalRate: 0% · 1,264 patients
0%1,264 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

FRANKLIN PIMENTEL M.D.P.A.
Internal Medicine
747 PONCE DE LEON BLVD, SUITE 408
CORAL GABLES, FL 33134
Miami-Dade County (305) 445-0700
MARTHA BOFILL & ASSOCIATES PSY CORP
Psychologist (Clinical)
747 PONCE DE LEON BLVD, SUITE 501
CORAL GABLES, FL 33134
Miami-Dade County (786) 587-2617
FRANCISCO J RICART MD PA
Psychiatry & Neurology (Psychiatry)
747 PONCE DE LEON BLVD, SUITE 600
CORAL GABLES, FL 33134
Miami-Dade County (305) 441-5880
AGUILAR & BALLEN PA
Specialist
747 PONCE DE LEON BLVD, SUITE 402
CORAL GABLES, FL 33134
Miami-Dade County (305) 774-5700
RAISA CORTES FONTANET
Dentist (General Practice)
747 PONCE DE LEON BLVD
CORAL GABLES, FL 33134
Miami-Dade County (305) 444-8591
MICHEL HERNANDEZ HERNANDEZ APRN
Nurse Practitioner
747 PONCE DE LEON BLVD
CORAL GABLES, FL 33134
Miami-Dade County (305) 529-9901
FLORIDA GERIATRICS ASSOCIATES, INC
Internal Medicine (Geriatric Medicine)
747 PONCE DE LEON BLVD, SUITE 607
CORAL GABLES, FL 33134
Miami-Dade County (305) 444-7779
MR. MARC JACQUES BARBIER
Technician/Technologist (Optician)
747 PONCE DE LEON BLVD, SUITE 402
CORAL GABLES, FL 33134
Miami-Dade County (305) 774-5700

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 Luis Garcia-mayol's NPI number?

The NPI number for Luis Garcia-mayol is 1003816463. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Luis Garcia-mayol located?

Luis Garcia-mayol practices at 747 Ponce De Leon Blvd Suite 605, Coral Gables, FL 33134. The listed phone number is (305) 445-4535.

What is Luis Garcia-mayol's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Luis Garcia-mayol enrolled in Medicare?

Yes. Luis Garcia-mayol 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 Luis Garcia-mayol accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Luis Garcia-mayol 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.

When was this NPI record last updated?

The NPPES record for Luis Garcia-mayol was last updated on October 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.