JOSE A LAVERGNE MD
NPI 1003899212
Internal Medicine - Gastroenterology in Miami Lakes, FL

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
14505 COMMERCE WAY STE 800, MIAMI LAKES, FL 33016(305) 910-0408(305) 558-1500 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jose A Lavergne Md NPPES

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

JOSE A LAVERGNE MD (NPI 1003899212) is an individual gastroenterology provider in Miami Lakes, Florida, licensed in Florida (ME90103) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Aventura Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1003899212
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJOSE A LAVERGNECredential: MD
Location Address14505 COMMERCE WAY STE 800Miami Lakes, FL 33016-1599
Mailing Address9200 S Dadeland Blvd Ste 800Miami, FL 33156-2758 · (786) 530-3820
Fax(305) 558-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 22, 2005
Last NPPES UpdateMay 13, 2026
NPPES CertifiedMay 13, 2026
NPI 1003899212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · ME90103
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

14505 COMMERCE WAY STE 800, Miami Lakes, FL 33016

Other Identifiers 1

Medicaid271347100FL

Accepted 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

Jose A Lavergne 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 ID8527037878
PECOS Enrollment IDI20041002000003
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 5

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.
42 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
19 services19 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
15 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100131
Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

Referred Medical Equipment & Supplies CMS DME claims 2

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

Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6238
DME-Medical/Surgical Supplies · category DA023N
2 suppliers16 claims404 services$22.00 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing A6403
DME-Medical/Surgical Supplies · category DA023N
2 suppliers17 claims1,483 services$0.40 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 5

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

Internal Medicine (Gastroenterology)
14505 COMMERCE WAY STE 800
MIAMI LAKES, FL 33016
Pediatrics
14505 COMMERCE WAY STE 800
MIAMI LAKES, FL 33016
Nurse Practitioner (Family)
14505 COMMERCE WAY STE 800
MIAMI LAKES, FL 33016
Nurse Practitioner (Family)
14505 COMMERCE WAY STE 800
MIAMI LAKES, FL 33016
Pediatrics
14505 COMMERCE WAY STE 800
MIAMI LAKES, FL 33016

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 Jose Lavergne's NPI number?

The NPI number for Jose Lavergne is 1003899212. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Jose Lavergne located?

Jose Lavergne practices at 14505 Commerce Way Ste 800, Miami Lakes, FL 33016. The listed phone number is (305) 910-0408.

What is Jose Lavergne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jose Lavergne enrolled in Medicare?

Yes. Jose Lavergne 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 Jose Lavergne accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida and 2 other insurers list Jose Lavergne 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 Jose Lavergne affiliated with any hospitals?

According to CMS data, Jose Lavergne is affiliated with Hca Florida Aventura Hospital.

When was this NPI record last updated?

The NPPES record for Jose Lavergne was last updated on May 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.