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MARCOS M CHERTMAN M.D.
NPI 1003865262
Internal Medicine - Endocrinology, Diabetes & Metabolism in Miami, FL

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
1321 NW 14TH ST, SUITE 304, MIAMI, FL 33125(305) 324-5481(305) 324-7852 Get Directions Write a Review

NPPES record last updated: March 16, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marcos M Chertman M.d. NPPES

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

MARCOS M CHERTMAN M.D. (NPI 1003865262) is an individual endocrinology, diabetes & metabolism provider in Miami, Florida, licensed in Florida (ME0030210) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of Other (1969).

NPPES Registry Identity

NPI1003865262
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameMARCOS M CHERTMANCredential: M.D.
Location Address1321 NW 14TH ST, SUITE 304Miami, FL 33125-1673
Mailing Address1321 Nw 14th St, Suite 304Miami, FL 33125-1673 · (305) 324-5481 · Fax (305) 324-7852
Phone(305) 324-5481
Fax(305) 324-7852
Sole ProprietorYes
Medical School CMSOtherGraduated 1969
Enumeration DateMay 8, 2006
Last NPPES UpdateMarch 16, 2015
✔ NPI 1003865262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in FL · ME0030210
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1321 NW 14TH ST, Miami, FL 33125
Open in Google Maps ↗

Other Identifiers 4

OtherAC9526558FL · Prescribing Number
Medicare UPIND85885FL
Medicaid036594700FL
Medicare ID-Type Unspecified50804FL · Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Marcos M Chertman M.d. 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 ID7719053495
PECOS Enrollment IDI20080903000403
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 4

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.
100 services36 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
70 services30 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
66 services29 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
33 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33125 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.

Reported Quality Measures

Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing
100%412 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
51%277 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,749 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
7%687 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
87%361 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%753 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
74%361 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
61%361 patients4/55-star benchmark: 79%
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each A4233
DME-Other DME · category DE017N
2 suppliers17 claims34 services$0.44 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
30 suppliers115 claims441 services$6.13 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers47 claims47 services$2.94 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
2 suppliers19 claims19 services$1.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers71 claims144 services$1.13 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers24 claims24 services$305.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ALLAN RICARDO RUBINFELD M.D.
Internal Medicine
1321 NW 14TH ST, SUITE # 400
MIAMI, FL 33125
Miami-Dade County (305) 325-1100
JONATHAN J COHEN M.D.
Internal Medicine (Hematology & Oncology)
1321 NW 14TH ST, STE. 207
MIAMI, FL 33125
Miami-Dade County (305) 324-7000
CARLOS A VIDAL M.D.
Internal Medicine (Hematology & Oncology)
1321 NW 14TH ST, STE. 601
MIAMI, FL 33125
Miami-Dade County (305) 325-1700
MR. LUIS S NASIFF MD
Internal Medicine (Gastroenterology)
1321 NW 14TH ST, SUITE 402
MIAMI, FL 33125
Miami-Dade County (305) 325-4410
CEDARS GASTROENTEROLOGISTS, LLC
Internal Medicine (Gastroenterology)
1321 NW 14TH ST, SUITE 402
MIAMI, FL 33125
Miami-Dade County (305) 325-4410
CEDARS NEUROSURGERY, LLC
Neurological Surgery
1321 NW 14TH ST, SUITE 605
MIAMI, FL 33125
Miami-Dade County (305) 325-4873
JOSE GONZALEZ MD
Emergency Medicine
1321 NW 14TH ST
MIAMI, FL 33125
Miami-Dade County (305) 689-5464
DAGOBERTO J GARCES M.D.
Specialist
1321 NW 14TH ST, SUITE 302
MIAMI, FL 33125
Miami-Dade County (305) 324-8058

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 Marcos Chertman's NPI number?

The NPI number for Marcos Chertman is 1003865262. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Marcos Chertman located?

Marcos Chertman practices at 1321 NW 14th St Suite 304, Miami, FL 33125. The listed phone number is (305) 324-5481.

What is Marcos Chertman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Marcos Chertman enrolled in Medicare?

Yes. Marcos Chertman 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 Marcos Chertman accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Marcos Chertman 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.

Is Marcos Chertman affiliated with any hospitals?

According to CMS data, Marcos Chertman is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Marcos Chertman was last updated on March 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.