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DR. EMILIO J GOMEZ-MADRAZO MD
NPI 1033174644
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in South Miami, FL

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
6280 SUNSET DR STE 408, SOUTH MIAMI, FL 33143(305) 441-7999(305) 441-8020 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Emilio J Gomez-madrazo Md NPPES

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

DR. EMILIO J GOMEZ-MADRAZO MD (NPI 1033174644) is an individual urogynecology and reconstructive pelvic surgery provider in South Miami, Florida, licensed in Florida (ME67905) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1960).

NPPES Registry Identity

NPI1033174644
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NameDR. EMILIO J GOMEZ-MADRAZOCredential: MD
Location Address6280 SUNSET DR STE 408South Miami, FL 33143-4860
Mailing Address6280 Sunset Dr Ste 408South Miami, FL 33143-4860 · (305) 441-7999 · Fax (305) 441-8020
Phone(305) 441-7999
Fax(305) 441-8020
Sole ProprietorNo
Medical School CMSOtherGraduated 1960
Enumeration DateApril 18, 2006
Last NPPES UpdateFebruary 23, 2015
✔ NPI 1033174644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in FL · ME67905
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License ME67905 (FL)
6280 SUNSET DR STE 408, South Miami, FL 33143
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Other Identifiers 4

Medicare UPINC77548FL
OtherBC538FL · Medicare Id
Medicaid250913000FL
Medicare PINBC538

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, AvMed, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Emilio J Gomez-madrazo 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 ID5991707812
PECOS Enrollment IDI20070206000528
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Emilio Gomez-madrazo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Woman Care, LLC
207 mi
Obstetrics & Gynecology
4010 W BOY SCOUT BLVD STE 500
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 802 clinicians in this Medicare group
NPI 1386823243 (561) 300-2410
Fwc Urogynecology, LLC
207 mi
Urogynecology and Reconstructive Pelvic Surgery
4010 W BOY SCOUT BLVD STE 500
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 35 clinicians in this Medicare group
NPI 1578859732 (561) 300-2410

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33143 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
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
68%486 patients3/55-star benchmark: 93%
Cervical Cancer Screening
99%180 patients5/55-star benchmark: 98%
Colorectal Cancer Screening
68%546 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
79%1,510 patients3/55-star benchmark: 100%
e-Prescribing
96%374 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%905 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%1,414 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 45% · 652 patients
Patients screened: 48% · 652 patients
4%24 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
74%450 patients3/55-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 2

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

FWC UROGYNECOLOGY, LLC
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
6280 SUNSET DR STE 408
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 441-7999
FLORIDA WOMAN CARE,LLC
Obstetrics & Gynecology
6280 SUNSET DR STE 408
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 441-7999

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 Emilio Gomez-madrazo's NPI number?

The NPI number for Emilio Gomez-madrazo is 1033174644. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Emilio Gomez-madrazo located?

Emilio Gomez-madrazo practices at 6280 Sunset Dr Ste 408, South Miami, FL 33143. The listed phone number is (305) 441-7999.

What is Emilio Gomez-madrazo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Emilio Gomez-madrazo enrolled in Medicare?

Yes. Emilio Gomez-madrazo 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.

Which organizations bill Medicare for Emilio Gomez-madrazo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emilio Gomez-madrazo reassigns Medicare benefits to 2 organizations: Florida Woman Care, LLC (Tampa, FL) and Fwc Urogynecology, LLC (Tampa, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emilio Gomez-madrazo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emilio Gomez-madrazo accept?

Health plans from 22 Health, AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Emilio Gomez-madrazo 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 Emilio Gomez-madrazo was last updated on February 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.