DEREK ARMANDO LAMBERT MD
NPI 1104093616
Hospitalist in Miami, FL

Active since May 14, 2008PECOS 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: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2022, May 26, 2021 (2 updates tracked since 2021).

About Derek Armando Lambert Md NPPES

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

DEREK ARMANDO LAMBERT MD (NPI 1104093616) is an individual hospitalist provider in Miami, Florida, licensed in Florida (ME101608) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with West Kendall Baptist Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1104093616
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDEREK ARMANDO LAMBERTCredential: MD
Location Address9555 SW 162ND AVEMiami, FL 33196-6408
Mailing AddressPo Box 198054Atlanta, GA 30384-8054
Fax(786) 533-9703
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 14, 2008
Last NPPES UpdateFebruary 9, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
NPI 1104093616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · ME101608
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME101608 (FL)
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

Derek Armando Lambert 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 ID4587736996
PECOS Enrollment IDI20080630000551
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 2

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 moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
79 services78 patients
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.
61 services61 patients

Hospital Affiliations CMS Care Compare 2

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

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

Mariners Hospital

Critical Access Hospitals · Tavernier, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101313
Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County
Emergency services

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
$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.

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

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$65.53 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 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
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

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 Derek Lambert's NPI number?

The NPI number for Derek Lambert is 1104093616. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Derek Lambert located?

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

What is Derek Lambert's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Derek Lambert enrolled in Medicare?

Yes. Derek Lambert 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 Derek Lambert accept?

Health plans from Oscar Health Maintenance Organization of Florida list Derek Lambert 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 Derek Lambert affiliated with any hospitals?

According to CMS data, Derek Lambert is affiliated with West Kendall Baptist Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for Derek Lambert was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.