MARLON PASTRANA M.D.
NPI 1134487705
Surgery in South Miami, FL

Active since May 02, 2012PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
6200 SW 72ND ST STE 502, SOUTH MIAMI, FL 33143(305) 271-9777(786) 533-9450 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 17, 2024, Nov 15, 2022, Jul 17, 2019 and 2 more (5 updates tracked since 2018).

About Marlon Pastrana M.d. NPPES

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

MARLON PASTRANA M.D. (NPI 1134487705) is an individual surgery provider in South Miami, Florida, licensed in Florida (ME139634) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1134487705
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMARLON PASTRANACredential: M.D.
Location Address6200 SW 72ND ST STE 502South Miami, FL 33143-4830
Mailing Address6241 Sw 112th PlMiami, FL 33173-1079 · (786) 304-8867
Fax(786) 533-9450
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 2, 2012
Last NPPES UpdateApril 17, 20245 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
NPI 1134487705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in FL · ME139634 Licensed in PA · MD464939
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

6200 SW 72ND ST STE 502, South Miami, FL 33143

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

Marlon Pastrana M.d. 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 ID2163772898
PECOS Enrollment IDI20190715002902
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

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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Larkin Community Hospital Palm Springs Campus

Acute Care Hospitals · Hialeah, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100050
Location1475 W 49th StHialeah, FL 33012 · Miami-Dade County
Emergency services

Homestead Hospital

Acute Care Hospitals · Homestead, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100125
Location975 Baptist WayHomestead, FL 33033 · Miami-Dade County
Emergency services Birthing friendly

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.

99.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Physician Assistant
6200 SW 72ND ST STE 502
SOUTH MIAMI, FL 33143
Physician Assistant
6200 SW 72ND ST STE 502
SOUTH MIAMI, FL 33143
Internal Medicine
6200 SW 72ND ST STE 502
SOUTH MIAMI, FL 33143
Surgery
6200 SW 72ND ST STE 502
SOUTH MIAMI, FL 33143
Nurse Practitioner
6200 SW 72ND ST STE 502
SOUTH MIAMI, FL 33143
Surgery
6200 SW 72ND ST STE 502
SOUTH MIAMI, FL 33143
Physician Assistant
6200 SW 72ND ST STE 502
SOUTH MIAMI, FL 33143
Nurse Practitioner
6200 SW 72ND ST STE 502
SOUTH MIAMI, FL 33143

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 Marlon Pastrana's NPI number?

The NPI number for Marlon Pastrana is 1134487705. It was assigned to this individual provider in the NPPES registry on May 2, 2012.

Where is Marlon Pastrana located?

Marlon Pastrana practices at 6200 SW 72nd St Ste 502, South Miami, FL 33143. The listed phone number is (305) 271-9777.

What is Marlon Pastrana's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Marlon Pastrana enrolled in Medicare?

Yes. Marlon Pastrana 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 Marlon Pastrana accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Marlon Pastrana 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 Marlon Pastrana affiliated with any hospitals?

According to CMS data, Marlon Pastrana is affiliated with Jackson Health System, Larkin Community Hospital Palm Springs Campus and Homestead Hospital.

When was this NPI record last updated?

The NPPES record for Marlon Pastrana was last updated on April 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.