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DR. HERNAN R BAQUERIZO M.D.
NPI 1053378893
Internal Medicine - Endocrinology, Diabetes & Metabolism in Miami, FL

Active since April 26, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D1032334 · Waiver
89.93/100
CMS Quality Rating
3661 S MIAMI AVE, # 505, MIAMI, FL 33133(305) 859-9837(305) 859-9840 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Hernan R Baquerizo M.d. NPPES

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

DR. HERNAN R BAQUERIZO M.D. (NPI 1053378893) is an individual endocrinology, diabetes & metabolism provider in Miami, Florida, licensed in Florida (ME-41627) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 20, 2026, and is affiliated with Hca Florida Mercy Hospital.

NPPES Registry Identity

NPI1053378893
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. HERNAN R BAQUERIZOCredential: M.D.
Location Address3661 S MIAMI AVE, # 505Miami, FL 33133-4200
Mailing Address3661 S Miami Ave, # 505Miami, FL 33133-4200 · (305) 859-9837 · Fax (305) 859-9840
Phone(305) 859-9837
Fax(305) 859-9840
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateApril 26, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1053378893 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 · ME-41627
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.
3661 S MIAMI AVE, Miami, FL 33133
Open in Google Maps ↗

Other Identifiers 2

OtherME-41627FL · Medical License
Medicaid2632209-00FL

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), UnitedHealthcare.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

Dr. Hernan R Baquerizo 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 ID547153934
PECOS Enrollment IDI20040209000222
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1032334

Hernan R Baquerizo MD PA · Miami, FL
Active · expires Oct 20, 2026
CLIA Number10D1032334
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorHernan Baquerizo MD
Laboratory Phone(305) 859-9837
Laboratory LocationHernan R Baquerizo MD PA3661 S Miami Ave ,ste 505, Miami, FL 33133
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
438 services267 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
410 services181 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.
112 services112 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
87 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
69 services59 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.
66 services25 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33133 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.

89.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.04
Improvement Activities40
Cost69.06

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
1 supplier24 claims48 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
52 suppliers254 claims611 services$6.55 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier46 claims46 services$2.94 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
1 supplier17 claims17 services$1.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
34 suppliers140 claims191 services$1.17 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier13 claims13 services$292.22 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.

ROSENDO GALBAN C.S.A
Community Health Worker
3661 S MIAMI AVE, ST.708
MIAMI, FL 33133
Miami-Dade County (305) 856-1002
DR. FERNANDO JULIO ALVAREZ PEREZ M.D.
Specialist
3661 S MIAMI AVE, SUITE 106
MIAMI, FL 33133
Miami-Dade County (305) 854-9966
MS. ANA G. MARTINEZ FUENTES CRNA
Nurse Anesthetist, Certified Registered
3661 S MIAMI AVE, STE 902
MIAMI, FL 33133
Miami-Dade County (305) 854-0302
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Dermatology
3661 S MIAMI AVE, SUITE 702
MIAMI, FL 33133
Miami-Dade County (305) 652-8600
CARLOS M DE CESPEDES JR,MD.P.A.
Obstetrics & Gynecology (Gynecology)
3661 S MIAMI AVE, 505
MIAMI, FL 33133
Miami-Dade County (305) 556-7809
J ARTHUR BOLT
Nurse Anesthetist, Certified Registered
3661 S MIAMI AVE, SUITE 107
MIAMI, FL 33133
Miami-Dade County (305) 854-0302
AYMARAH M ROBLES MD PA
Internal Medicine (Pulmonary Disease)
3661 S MIAMI AVE, MERCY PROFESSIONAL BUILDING I SUITE 702
MIAMI, FL 33133
Miami-Dade County (305) 858-2282
JEFFREY LEE HORSTMYER M.D
Specialist
3661 S MIAMI AVE, SUITE 209
MIAMI, FL 33133
Miami-Dade County (305) 856-8942

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 Hernan Baquerizo's NPI number?

The NPI number for Hernan Baquerizo is 1053378893. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Hernan Baquerizo located?

Hernan Baquerizo practices at 3661 S Miami Ave # 505, Miami, FL 33133. The listed phone number is (305) 859-9837.

What is Hernan Baquerizo's specialty?

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

Is Hernan Baquerizo enrolled in Medicare?

Yes. Hernan Baquerizo 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.

Does Hernan Baquerizo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1032334) is associated with this NPI, valid through October 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hernan Baquerizo accept?

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

According to CMS data, Hernan Baquerizo is affiliated with Hca Florida Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Hernan Baquerizo was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.