DR. EDGAR LUIS GALINANES MD
NPI 1114125069
Surgery - Vascular Surgery in South Miami, FL

Q: What is Edgar Galinanes's NPI number?

The NPI number for Edgar Galinanes is 1114125069. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Q: What is Edgar Galinanes's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Galinanes was last updated on May 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment

99.56/100

CMS Quality Rating

6200 SUNSET DR, SUITE 505, SOUTH MIAMI, FL 33143(305) 668-1660(305) 668-1650 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Edgar Luis Galinanes Md NPPES

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

DR. EDGAR LUIS GALINANES MD (NPI 1114125069) is an individual vascular surgery provider in South Miami, Florida, licensed in Florida (ME122930) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Boston University School Of Medicine (2007).

NPPES Registry Identity

NPI1114125069

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. EDGAR LUIS GALINANESCredential: MD

Location Address6200 SUNSET DR, SUITE 505South Miami, FL 33143-4828

Mailing Address6200 Sunset Dr, Suite 505South Miami, FL 33143-4828 · (305) 668-1660 · Fax (305) 668-1650

Phone(305) 668-1660

Fax(305) 668-1650

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 2007

Enumeration DateJuly 3, 2007

Last NPPES UpdateMay 27, 2015

✔ NPI 1114125069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Licenses✔ Licensed in FL · ME122930✔ Licensed in TX · P7441

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 2007019204 (MO)

6200 SUNSET DR, South Miami, FL 33143

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Other Identifiers 3

OtherP7441TX · Texas Medical License

OtherJ0201630TX · Texas Dps Number

OtherME122930FL · Florida Medical License

Accepted Insurance

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

Dr. Edgar Luis Galinanes 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 ID8224333224

PECOS Enrollment IDI20160301000638

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 18

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.

307 services133 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.

167 services91 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

135 services106 patients

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153

This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.

76 services13 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

73 services62 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.

72 services72 patients

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

61 services11 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.

43 services31 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

38 services17 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

35 services23 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

34 services28 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

27 services13 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

24 services20 patients

Ultrasound of leg arteries at rest and after exercise 93924

An ultrasound of leg arteries at rest and after exercise involves using sound waves to create images of the blood vessels in your legs. This helps to detect blockages or narrowing. You'll rest, then perform light exercise, and images are taken before and after to compare blood flow.

22 services20 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

22 services21 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

20 services13 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

18 services16 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

14 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100008

Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County

Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100154

Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County

Emergency services Birthing friendly

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

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 33143 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

$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.

99.56/100

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

Individually scored

Quality

81.92

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

0%318 patients1/55-star benchmark: 93%

Controlling High Blood Pressure

56%153 patients3/55-star benchmark: 91%

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

Lower rates are better for this measure.

100%102 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

74%2,690 patients3/55-star benchmark: 100%

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

69%1,004 patients3/55-star benchmark: 98%

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

12%2,007 patients1/55-star benchmark: 61%

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

Patients combinedPopulations: 90% · 700 patients

Patients screened: 91% · 700 patients

79%34 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84%305 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 661 patients

Patients totalRate: 0% · 661 patients

0%661 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.

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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.

DR. JORGE LUIS CUELLO MD

Internal Medicine (Cardiovascular Disease)

6200 SUNSET DR, SUITE 401
SOUTH MIAMI, FL 33143

Miami-Dade County (305) 666-4633

MS. MAUREEN LAUREN CLANCY ARNP

Nurse Practitioner (Family)

6200 SUNSET DR, SUITE 304
SOUTH MIAMI, FL 33143

Miami-Dade County (305) 662-1550

GABRIELA CEDENO HERNANDEZ

Nurse Practitioner (Acute Care)

6200 SUNSET DR
SOUTH MIAMI, FL 33143

Miami-Dade County (305) 668-1660

DR. JERROLD YOUNG MD

Surgery

6200 SUNSET DR, SUITE 501
SOUTH MIAMI, FL 33143

Miami-Dade County (305) 667-7878

JOSE A MARTEL MD

Internal Medicine (Clinical Cardiac Electrophysiology)

6200 SUNSET DR, SUITE 401
SOUTH MIAMI, FL 33143

Miami-Dade County (305) 666-4633

CYNTHIA K BROWN ARNP

Nurse Practitioner

6200 SUNSET DR, SUITE 505
SOUTH MIAMI, FL 33143

Miami-Dade County (305) 668-1660

DR. MICHAEL FRED GRAHAM MD

Surgery

6200 SUNSET DR, SUITE 501
SOUTH MIAMI, FL 33143

Miami-Dade County (305) 667-7878

DR. STEVEN KANG MD

Surgery (Vascular Surgery)

6200 SUNSET DR, SUITE 505
SOUTH MIAMI, FL 33143

Miami-Dade County (305) 668-1660

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 Edgar Galinanes's NPI number?

The NPI number for Edgar Galinanes is 1114125069. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Edgar Galinanes located?

Edgar Galinanes practices at 6200 Sunset Dr Suite 505, South Miami, FL 33143. The listed phone number is (305) 668-1660.

What is Edgar Galinanes's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Edgar Galinanes enrolled in Medicare?

Yes. Edgar Galinanes 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 Edgar Galinanes accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Edgar Galinanes 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 Edgar Galinanes affiliated with any hospitals?

According to CMS data, Edgar Galinanes is affiliated with Baptist Hospital Of Miami, South Miami Hospital, Doctors Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for Edgar Galinanes was last updated on May 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.