DR. SIMON STAROSTA-RUBINSTEIN MD
NPI 1063647709
Psychiatry & Neurology - Neurology in South Miami, FL

Active since May 26, 2009PECOS EnrolledAccepts Medicare Assignment
76.22/100
CMS Quality Rating
7000 SW 62ND AVE STE 300, SOUTH MIAMI, FL 33143(305) 665-6501(305) 661-1672 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2021, Dec 18, 2019, Feb 24, 2016 (3 updates tracked since 2016).

About Dr. Simon Starosta-rubinstein Md NPPES

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

DR. SIMON STAROSTA-RUBINSTEIN MD (NPI 1063647709) is an individual neurology provider in South Miami, Florida, licensed in Florida (ME103820) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1063647709
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SIMON STAROSTA-RUBINSTEINCredential: MD
Location Address7000 SW 62ND AVE STE 300South Miami, FL 33143-4719
Mailing Address9960 Nw 116th Way, Suite 13Medley, FL 33178-1167 · (786) 924-1311 · Fax (786) 924-1313
Fax(305) 661-1672
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateMay 26, 2009
Last NPPES UpdateOctober 18, 20243 updates tracked since enumeration
NPPES CertifiedOctober 18, 2024
NPI 1063647709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in FL · ME103820
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
7000 SW 62ND AVE STE 300, South Miami, FL 33143

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

Dr. Simon Starosta-rubinstein 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 ID547307613
PECOS Enrollment IDI20091021000658
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.
604 services281 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.
180 services149 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
144 services136 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
123 services114 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.
72 services58 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
45 services45 patients

Hospital Affiliations CMS Care Compare 5

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

Homestead Hospital

Acute Care Hospitals · Homestead, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100125
Location975 Baptist WayHomestead, FL 33033 · Miami-Dade County
Emergency services Birthing friendly

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

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
$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.

76.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.74
Promoting Interoperability96
Improvement Activities40
Cost54.18

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$15.70 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers12 claims12 services$6.84 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 13

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

Family Medicine
7000 SW 62ND AVE STE 300
SOUTH MIAMI, FL 33143
Psychiatry & Neurology (Neurology)
7000 SW 62ND AVE STE 300
SOUTH MIAMI, FL 33143
Psychiatry & Neurology (Epilepsy)
7000 SW 62ND AVE STE 300
SOUTH MIAMI, FL 33143
Psychiatry & Neurology (Neurology)
7000 SW 62ND AVE STE 300
SOUTH MIAMI, FL 33143
Nurse Practitioner
7000 SW 62ND AVE STE 300
SOUTH MIAMI, FL 33143
Nurse Practitioner (Acute Care)
7000 SW 62ND AVE STE 300
SOUTH MIAMI, FL 33143
Nurse Practitioner (Acute Care)
7000 SW 62ND AVE STE 300
SOUTH MIAMI, FL 33143
Nurse Practitioner (Acute Care)
7000 SW 62ND AVE STE 300
SOUTH MIAMI, FL 33143

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 Simon Starosta-rubinstein's NPI number?

The NPI number for Simon Starosta-rubinstein is 1063647709. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Simon Starosta-rubinstein located?

Simon Starosta-rubinstein practices at 7000 SW 62nd Ave Ste 300, South Miami, FL 33143. The listed phone number is (305) 665-6501.

What is Simon Starosta-rubinstein's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Simon Starosta-rubinstein enrolled in Medicare?

Yes. Simon Starosta-rubinstein 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 Simon Starosta-rubinstein accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Simon Starosta-rubinstein 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 Simon Starosta-rubinstein affiliated with any hospitals?

According to CMS data, Simon Starosta-rubinstein is affiliated with Baptist Hospital Of Miami, Homestead Hospital, South Miami Hospital, Hca Florida Mercy Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Simon Starosta-rubinstein was last updated on October 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.