TERESITA GOMEZ-BORBOLLA ARNP
NPI 1144570011
Nurse Practitioner - Family in Miami, FL

Q: What is Teresita Gomez-borbolla's NPI number?

The NPI number for Teresita Gomez-borbolla is 1144570011. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Q: What is Teresita Gomez-borbolla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 18, 2012PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

11690 SW 72ND ST, MIAMI, FL 33173(866) 825-3227 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Teresita Gomez-borbolla Arnp NPPES

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

TERESITA GOMEZ-BORBOLLA ARNP (NPI 1144570011) is an individual family provider in Miami, Florida, licensed in Florida (ARNP9223935) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1144570011

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTERESITA GOMEZ-BORBOLLACredential: ARNP

Location Address11690 SW 72ND STMiami, FL 33173-2691

Mailing Address161 Washington St, Eight Tower Bridge, Suite 1400Conshohocken, PA 19428-2083 · (866) 826-3227

Phone(866) 825-3227

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateSeptember 18, 2012

Last NPPES UpdateDecember 14, 2015

✔ NPI 1144570011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP9223935

11690 SW 72ND ST, Miami, FL 33173

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. 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

Teresita Gomez-borbolla Arnp 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 ID1254582745

PECOS Enrollment IDI20121109000219

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 Teresita Gomez-borbolla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Miami

2.2 mi

Internal Medicine

8932 SW 97TH AVE
Miami, FL 33176

Reassigned Medicare billing, Florida enrollment
3,639 clinicians in this Medicare group

NPI 1912956566 (305) 243-7688

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 4

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 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.

30 services29 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

20 services18 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

16 services15 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33173 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

$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.

81.31/100

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

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Reported Quality Measures

Appropriate Testing for Pharyngitis

100%148 patients5/55-star benchmark: 100%

Appropriate Treatment for Upper Respiratory Infection (URI)

86%494 patients4/55-star benchmark: 100%

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

4%138 patients

Breast Cancer Screening

31%282 patients2/55-star benchmark: 93%

Cervical Cancer Screening

16%674 patients1/55-star benchmark: 98%

Chlamydia Screening for Women

42%24 patients

Colorectal Cancer Screening

27%527 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

74%111 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

39%46 patients2/55-star benchmark: 100%

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

Lower rates are better for this measure.

24%46 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

95%1,445 patients4/55-star benchmark: 100%

e-Prescribing

98%469 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

69%115 patients3/55-star benchmark: 100%

HIV Screening

18%1,155 patients2/55-star benchmark: 60%

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

43%1,125 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

21%1,163 patients1/55-star benchmark: 97%

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

44%1,226 patients3/55-star benchmark: 61%

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

Patients screened: 99% · 159 patients

96%159 patients

Provide Patients Electronic Access to Their Health Information

91%479 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 7% · 133 patients

Patients totalRate: 11% · 133 patients

8%133 patients4/55-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.

Other Providers at the Same Location NPPES 13

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

SHERYLEE SANCHEZ SANTIAGO DR.

Pharmacist