SUSAN B KESMODEL MD
NPI 1093814758
Surgery - Surgical Oncology in Miami, FL

Q: What is Susan Kesmodel's NPI number?

The NPI number for Susan Kesmodel is 1093814758. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Susan Kesmodel's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Susan Kesmodel was last updated on April 28, 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.

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment

99.2/100

CMS Quality Rating

1400 NW 12TH AVE, MIAMI, FL 33136(305) 243-4902 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2017, Oct 25, 2016 (2 updates tracked since 2016).

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About Susan B Kesmodel Md NPPES

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

SUSAN B KESMODEL MD (NPI 1093814758) is an individual surgical oncology provider in Miami, Florida, licensed in Florida (ME131403) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1998).

NPPES Registry Identity

NPI1093814758

Entity TypeIndividualFemale

Primary Taxonomy2086X0206X

Provider Legal NameSUSAN B KESMODELCredential: MD

Location Address1400 NW 12TH AVEMiami, FL 33136-1003

Mailing Address1400 Nw 12th AvenueMiami, FL 33136 · (305) 243-4902 · Fax (305) 243-4907

Phone(305) 243-4902

Sole ProprietorNo

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1998

Enumeration DateSeptember 21, 2006

Last NPPES UpdateApril 28, 20232 updates tracked since enumeration

NPPES CertifiedApril 28, 2023

✔ NPI 1093814758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in FL · ME131403

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License ME131403 (FL)

1400 NW 12TH AVE, Miami, FL 33136

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Susan B Kesmodel 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 ID9638193188

PECOS Enrollment IDI20170530000654

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 6

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.

30 services25 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

21 services19 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.

21 services16 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.

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

15 services15 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100022

Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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

$187.05 typical visit price

range $60.92 – $187.05

Typical copayment $46.76 (range $15.23 – $46.76)

Most-billed visit code 99205

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.

99.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

96.57

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

28%93 patients

Breast Cancer Screening

70%274 patients4/55-star benchmark: 93%

Cervical Cancer Screening

15%427 patients1/55-star benchmark: 98%

Colorectal Cancer Screening

23%436 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

79%92 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

21%39 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

46%39 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%1,299 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

99%168 patients4/55-star benchmark: 100%

HIV Screening

21%492 patients2/55-star benchmark: 60%

Oncology: Medical and Radiation - Pain Intensity Quantified

95%93 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

48%626 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

99%549 patients5/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

39%1,061 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 99% · 384 patients

99%384 patients

Provide Patients Electronic Access to Their Health Information

100%235 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 20% · 189 patients

Patients totalRate: 23% · 189 patients

19%189 patients3/55-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.

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.

KEREN SHAHAR M.D.

Internal Medicine