HENRY E PAEZ M D
NPI 1093790313
Family Medicine in Miami, FL

Active since December 09, 2005PECOS Enrolled
1898 SW 27TH AVE, SUITE 1, MIAMI, FL 33145(305) 447-8777(305) 447-8126 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Henry E Paez M D NPPES

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

HENRY E PAEZ M D (NPI 1093790313) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME81996) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Mercy Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1093790313
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHENRY E PAEZCredential: M D
Location Address1898 SW 27TH AVE, SUITE 1Miami, FL 33145-2445
Mailing Address3125 Day AveMiami, FL 33133-5110 · (305) 447-8777 · Fax (305) 447-8126
Fax(305) 447-8126
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateDecember 9, 2005
Last NPPES UpdateDecember 17, 2007
NPI 1093790313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME81996
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1898 SW 27TH AVE, Miami, FL 33145

Other Identifiers 7

Medicare PIN13041FFL
Medicaid264312000FL
Other13041FL · Bcbs
Medicare UPINH53486FL
OtherP00414262Rr Mcr
Medicare ID-Type Unspecified13041 YFL
Medicare PIN13041GFL

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 (PECOS)

Henry E Paez M D is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062316151
PECOS Enrollment IDI20031120000794
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 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 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.
210 services50 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.
115 services18 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
58 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
41 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Steward Coral Gables Hospital

Acute Care Hospitals · Coral Gables, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100183
Location3100 Douglas RdCoral Gables, FL 33134 · Miami-Dade County
Emergency services

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 33145 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
$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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%69 patients5/55-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 18

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 supplier23 claims46 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
6 suppliers70 claims260 services$6.59 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier53 claims53 services$2.89 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
1 supplier19 claims19 services$1.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers67 claims127 services$1.10 avg. paid by Medicare
Collagen dressing, sterile, size more than 48 sq. in., each A6023
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims144 services$185.02 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 3

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

Family Medicine
1898 SW 27TH AVE, SUITE #1
MIAMI, FL 33145
Registered Nurse
1898 SW 27TH AVE, SUITE 1
MIAMI, FL 33145
Internal Medicine
1898 SW 27TH AVE, SUITE # 1
MIAMI, FL 33145

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 Henry Paez's NPI number?

The NPI number for Henry Paez is 1093790313. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Henry Paez located?

Henry Paez practices at 1898 SW 27th Ave Suite 1, Miami, FL 33145. The listed phone number is (305) 447-8777.

What is Henry Paez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Henry Paez enrolled in Medicare?

Yes. Henry Paez is registered in the Medicare PECOS enrollment system.

What insurance does Henry Paez accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Oscar Insurance Company and 1 other insurer list Henry Paez 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 Henry Paez affiliated with any hospitals?

According to CMS data, Henry Paez is affiliated with Hca Florida Mercy Hospital, Steward Coral Gables Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Henry Paez was last updated on December 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.