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GERARD JOHN BARRIOS M.D.
NPI 1104811306
Internal Medicine in Coral Gables, FL

Active since September 13, 2005PECOS Enrolled
3181 CORAL WAY, 5TH FLOOR, CORAL GABLES, FL 33145(305) 858-3494(305) 444-0780 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 21, 2021, Feb 2, 2016 (2 updates tracked since 2016).

About Gerard John Barrios M.d. NPPES

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

GERARD JOHN BARRIOS M.D. (NPI 1104811306) is an individual internal medicine provider in Coral Gables, Florida, licensed in Florida (ME15652) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104811306
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGERARD JOHN BARRIOSCredential: M.D.
Location Address3181 CORAL WAY, 5TH FLOORCoral Gables, FL 33145-3216
Mailing Address3181 Coral Way, 5th FloorCoral Gables, FL 33145-3216 · (305) 858-3494 · Fax (305) 285-7372
Phone(305) 858-3494
Fax(305) 444-0780
Sole ProprietorNo
Enumeration DateSeptember 13, 2005
Last NPPES UpdateApril 21, 20212 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1104811306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME15652
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License ME15652 (FL)
3181 CORAL WAY, Coral Gables, FL 33145
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Other Names 1

Professional Name (2)Gerard J Barrios Md

Other Identifiers 1

Medicaid037775900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gerard John Barrios M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Gerard Barrios reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mas Cardiology Group Inc
Same address
Cardiovascular Disease
3181 CORAL WAY, 5TH FLOOR
Miami, FL 33145
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1427116045 (305) 858-3494
Mercy Ekg & Echo Readers, Inc
2.1 mi
Cardiovascular Disease
3663 S MIAMI AVE
Miami, FL 33133
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
NPI 1356433023 (305) 665-4614

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 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
294 services237 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.
247 services126 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
238 services126 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.
153 services78 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.
29 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.
16 services16 patients

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
$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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers27 claims96 services$7.07 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier18 claims18 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers20 claims40 services$1.21 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$42.77 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier12 claims12 services$36.00 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers21 claims21 services$11.37 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 15

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

NATALIA MAS M.S.,CCC-SLP
Speech-Language Pathologist
3181 CORAL WAY, 5TH FLOOR
CORAL GABLES, FL 33145
Miami-Dade County (305) 858-3494
RAUL ALMAGUER MD
Internal Medicine
3181 CORAL WAY, 5TH FLOOR
MIAMI, FL 33145
Miami-Dade County (305) 858-3494
ILDEFONSO J MAS JR. MD
Internal Medicine (Cardiovascular Disease)
3181 CORAL WAY, 5TH FLOOR
MIAMI, FL 33145
Miami-Dade County (305) 858-3494
SOUTH FLORIDA PUL,MONARY AND CRITICAL CARE
Allergy & Immunology
3181 CORAL WAY, 1ST FLOOR
CORAL GABLES, FL 33145
Miami-Dade County (305) 567-1999
WAYNE E. LIPSON M.D., P.A.
Specialist
3181 CORAL WAY, SUITE # 302
MIAMI, FL 33145
Miami-Dade County (305) 446-5718
MAS CARDIOLOGY GROUP INC
Internal Medicine (Cardiovascular Disease)
3181 CORAL WAY, 5TH FLOOR
MIAMI, FL 33145
Miami-Dade County (305) 858-3494
MAS REHABLILITATION SERVICES, INC.
Speech-Language Pathologist
3181 CORAL WAY, 5TH FLOOR
CORAL GABLES, FL 33145
Miami-Dade County (305) 858-3494
BAYSHORE SURGICAL ASSOCIATES, LLC
Surgery
3181 CORAL WAY, SUITE 302
CORAL GABLES, FL 33145
Miami-Dade County (305) 856-1002

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 Gerard Barrios's NPI number?

The NPI number for Gerard Barrios is 1104811306. It was assigned to this individual provider in the NPPES registry on September 13, 2005. The provider is also known as Gerard J Barrios MD.

Where is Gerard Barrios located?

Gerard Barrios practices at 3181 Coral Way 5th Floor, Coral Gables, FL 33145. The listed phone number is (305) 858-3494.

What is Gerard Barrios's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gerard Barrios enrolled in Medicare?

Yes. Gerard Barrios is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gerard Barrios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerard Barrios reassigns Medicare benefits to 2 organizations: Mas Cardiology Group Inc (Miami, FL) and Mercy Ekg & Echo Readers, Inc (Miami, FL). Each 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 Gerard Barrios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerard Barrios accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Gerard Barrios 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 Gerard Barrios was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.