DR. NATHAN PATRICK WIDBOOM D.O.
NPI 1144565532
Neuromusculoskeletal Medicine & OMM in South Miami, FL

Q: What is Nathan Widboom's NPI number?

The NPI number for Nathan Widboom is 1144565532. It was assigned to this individual provider in the NPPES registry on December 11, 2012.

Q: What is Nathan Widboom's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Widboom was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 December 11, 2012PECOS EnrolledAccepts Medicare Assignment

76.76/100

CMS Quality Rating

7031 SW 62ND AVE, SOUTH MIAMI, FL 33143(305) 284-7761 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 26, 2020, Aug 7, 2017 (2 updates tracked since 2017).

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About Dr. Nathan Patrick Widboom D.o. NPPES

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

DR. NATHAN PATRICK WIDBOOM D.O. (NPI 1144565532) is an individual neuromusculoskeletal medicine & omm provider in South Miami, Florida, licensed in Florida (OS13591) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1144565532

Entity TypeIndividualMale

Primary Taxonomy204D00000X

Provider Legal NameDR. NATHAN PATRICK WIDBOOMCredential: D.O.

Location Address7031 SW 62ND AVESouth Miami, FL 33143-4701

Mailing Address7031 Sw 62nd AveSouth Miami, FL 33143-4701 · (305) 284-7761

Phone(305) 284-7761

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateDecember 11, 2012

Last NPPES UpdateFebruary 26, 20202 updates tracked since enumeration

✔ NPI 1144565532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in FL · OS13591

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License OS13591 (FL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

7031 SW 62ND AVE, South Miami, FL 33143

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, AvMed, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nathan Patrick Widboom D.o. 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 ID6204119993

PECOS Enrollment IDI20170202002049

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 Reassignment

Medicare enrollment records show Nathan Widboom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nova Southeastern University

6.2 mi

Allergy & Immunology

8501 SW 124TH AVE STE 111
Miami, FL 33183

Reassigned Medicare billing, Florida enrollment
264 clinicians in this Medicare group

NPI 1336477397 (305) 275-2601

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 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.

Osteopathic manipulative treatment, 5-6 body regions 98927

Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose, treat, and prevent illness or injury. In a 5-6 body regions OMT, the doctor applies techniques on those areas to enhance your body's natural healing process.

30 services12 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.

18 services13 patients

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.

76.76/100

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

Scored as part of a group practice

Quality

74.13

Improvement Activities

Cost

65.98

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.

DANIEL SHLYAK MD

Student in an Organized Health Care Education/Training Program