ADALYNE PERICLES PA-C
NPI 1053711341
Physician Assistant in Miami, FL

Active since August 25, 2014PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
9555 SW 162ND AVE, MIAMI, FL 33196(786) 467-2154(786) 533-9703 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2021, Mar 24, 2016 (2 updates tracked since 2016).

About Adalyne Pericles Pa-c NPPES

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

ADALYNE PERICLES PA-C (NPI 1053711341) is an individual physician assistant in Miami, Florida, licensed in Florida (PA9107848) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053711341
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameADALYNE PERICLESCredential: PA-C
Location Address9555 SW 162ND AVEMiami, FL 33196-6408
Mailing AddressPo Box 198054Atlanta, GA 30384-8054
Fax(786) 533-9703
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 25, 2014
Last NPPES UpdateMay 27, 20212 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
NPI 1053711341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9107848
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9555 SW 162ND AVE, Miami, FL 33196

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

Adalyne Pericles Pa-c 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 ID5395066310
PECOS Enrollment IDI20150603000219
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

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.

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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33196 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

99.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist
9555 SW 162ND AVE
MIAMI, FL 33196
Internal Medicine
9555 SW 162ND AVE
MIAMI, FL 33196
Physician Assistant
9555 SW 162ND AVE
MIAMI, FL 33196
Nurse Practitioner (Adult Health)
9555 SW 162ND AVE
MIAMI, FL 33196
Physician Assistant
9555 SW 162ND AVE
MIAMI, FL 33196
Internal Medicine (Critical Care Medicine)
9555 SW 162ND AVE
MIAMI, FL 33196
Hospitalist
9555 SW 162ND AVE
MIAMI, FL 33196
Hospitalist
9555 SW 162ND AVE
MIAMI, FL 33196

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 Adalyne Pericles's NPI number?

The NPI number for Adalyne Pericles is 1053711341. It was assigned to this individual provider in the NPPES registry on August 25, 2014.

Where is Adalyne Pericles located?

Adalyne Pericles practices at 9555 SW 162nd Ave, Miami, FL 33196. The listed phone number is (786) 467-2154.

What is Adalyne Pericles's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Adalyne Pericles enrolled in Medicare?

Yes. Adalyne Pericles 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 Adalyne Pericles accept?

Health plans from Oscar Health Maintenance Organization of Florida list Adalyne Pericles 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 Adalyne Pericles affiliated with any hospitals?

According to CMS data, Adalyne Pericles is affiliated with Baptist Hospital Of Miami.

When was this NPI record last updated?

The NPPES record for Adalyne Pericles was last updated on May 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.