DR. EDWARD MEZERHANE MD
NPI 1063654218
Internal Medicine - Sleep Medicine in Miami, FL

Active since April 02, 2009PECOS EnrolledAccepts Medicare Assignment
74.2/100
CMS Quality Rating
351 NW 42ND AVE STE 308, MIAMI, FL 33126(305) 994-1825(305) 508-5519 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Edward Mezerhane Md NPPES

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

DR. EDWARD MEZERHANE MD (NPI 1063654218) is an individual sleep medicine provider in Miami, Florida, licensed in Florida (ME108143) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2009).

NPPES Registry Identity

NPI1063654218
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. EDWARD MEZERHANECredential: MD
Location Address351 NW 42ND AVE STE 308Miami, FL 33126-5688
Mailing Address351 Nw 42nd Ave Ste 308Miami, FL 33126-5688 · (305) 994-1825 · Fax (305) 508-5519
Fax(305) 508-5519
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2009
Enumeration DateApril 2, 2009
Last NPPES UpdateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
✔ NPI 1063654218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in FL · ME108143
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME108143 (FL)
351 NW 42ND AVE STE 308, Miami, FL 33126

Secondary Practice Locations 2

Location 11350 SW 57th Ave, Suite 210West Miami, FL 33144-5775 · Phone (305) 994-1825 · Fax (305) 508-5519
Location 211030 SW 88th St Ste 100Miami, FL 33176-8814 · Phone (305) 994-1825 · Fax (305) 508-5519

Accepted 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. Edward Mezerhane 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 ID8820252778
PECOS Enrollment IDI20120606000142
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 Reassignment

Medicare enrollment records show Edward Mezerhane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sleep Medicine
351 NW 42ND AVE STE 308
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 12

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 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.
528 services418 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
268 services86 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
218 services76 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.
167 services167 patients
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.
93 services68 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
79 services78 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33126 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.

74.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality69.6
Promoting Interoperability91
Improvement Activities40
Cost51.91

Reported Quality Measures

Advance Care Plan
0%1,461 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
16%3,295 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
65%1,499 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
67%24 patients3/55-star benchmark: 99%
Diabetes: Eye Exam
0%232 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%232 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
56%8,312 patients2/55-star benchmark: 100%
HIV Screening
0%3,463 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
12%4,767 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
28%4,511 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%5,109 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 71% · 2,396 patients
Patients screened: 76% · 2,396 patients
6%115 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
71%1,952 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%562 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,496 patients
Patients totalRate: 2% · 1,511 patients
2%1,511 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
16 suppliers270 claims270 services$35.20 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers130 claims130 services$83.83 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers130 claims327 services$32.61 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers183 claims847 services$18.24 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers126 claims609 services$13.57 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
17 suppliers328 claims328 services$52.74 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

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

Internal Medicine (Sleep Medicine)
351 NW 42ND AVE STE 308
MIAMI, FL 33126

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 Edward Mezerhane's NPI number?

The NPI number for Edward Mezerhane is 1063654218. It was assigned to this individual provider in the NPPES registry on April 2, 2009.

Where is Edward Mezerhane located?

Edward Mezerhane practices at 351 NW 42nd Ave Ste 308, Miami, FL 33126. The listed phone number is (305) 994-1825.

What is Edward Mezerhane's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Edward Mezerhane enrolled in Medicare?

Yes. Edward Mezerhane 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 organization bills Medicare for Edward Mezerhane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Mezerhane reassigns Medicare benefits to Sleep Medicine Specialists Of South Florida PA (Miami, FL). The 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 Edward Mezerhane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Mezerhane accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Oscar Health Maintenance Organization of Florida list Edward Mezerhane 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 Edward Mezerhane was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.