JEFFREY LEE HORSTMYER M.D
NPI 1053337733
Specialist in Miami, FL

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3661 S MIAMI AVE, SUITE 209, MIAMI, FL 33133(305) 856-8942(305) 856-0432 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Lee Horstmyer M.d NPPES

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

JEFFREY LEE HORSTMYER M.D (NPI 1053337733) is an individual specialist in Miami, Florida, licensed in Florida (ME60311) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with South Miami Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1989).

NPPES Registry Identity

NPI1053337733
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJEFFREY LEE HORSTMYERCredential: M.D
Location Address3661 S MIAMI AVE, SUITE 209Miami, FL 33133-4236
Mailing Address3661 S Miami Ave, Suite 209Miami, FL 33133-4236 · (305) 856-8942 · Fax (305) 856-0432
Fax(305) 856-0432
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1989
Enumeration DateJuly 14, 2006
Last NPPES UpdateApril 17, 2020
NPPES CertifiedApril 17, 2020
NPI 1053337733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME60311
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3661 S MIAMI AVE, Miami, FL 33133

Other Identifiers 1

Other14410TFL · Medicare Ptan

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

Jeffrey Lee Horstmyer 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 ID2769459981
PECOS Enrollment IDI20060105000226
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 13

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.
477 services259 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
149 services141 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
144 services78 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.
88 services88 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
77 services49 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
66 services65 patients

Hospital Affiliations CMS Care Compare 3

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

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100167
Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
91%163 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.
90%1,085 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
98%656 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
0%656 patients1/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
3%37 patients1/55-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 certified EHR technology to the patient (or the patient-authorized representative), or in…
0%656 patients1/55-star benchmark: 75%
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.

Community Health Worker
3661 S MIAMI AVE, ST.708
MIAMI, FL 33133
Specialist
3661 S MIAMI AVE, SUITE 106
MIAMI, FL 33133
Nurse Anesthetist, Certified Registered
3661 S MIAMI AVE, STE 902
MIAMI, FL 33133
Dermatology
3661 S MIAMI AVE, SUITE 702
MIAMI, FL 33133
Obstetrics & Gynecology (Gynecology)
3661 S MIAMI AVE, 505
MIAMI, FL 33133
Nurse Anesthetist, Certified Registered
3661 S MIAMI AVE, SUITE 107
MIAMI, FL 33133
Internal Medicine (Pulmonary Disease)
3661 S MIAMI AVE, MERCY PROFESSIONAL BUILDING I SUITE 702
MIAMI, FL 33133
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3661 S MIAMI AVE, # 505
MIAMI, FL 33133

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 Jeffrey Horstmyer's NPI number?

The NPI number for Jeffrey Horstmyer is 1053337733. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Jeffrey Horstmyer located?

Jeffrey Horstmyer practices at 3661 S Miami Ave Suite 209, Miami, FL 33133. The listed phone number is (305) 856-8942.

What is Jeffrey Horstmyer's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jeffrey Horstmyer enrolled in Medicare?

Yes. Jeffrey Horstmyer 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 Jeffrey Horstmyer accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Jeffrey Horstmyer 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 Jeffrey Horstmyer affiliated with any hospitals?

According to CMS data, Jeffrey Horstmyer is affiliated with South Miami Hospital, Hca Florida Mercy Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Horstmyer was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.