DR. FRANCISCO J CIVANTOS MD
NPI 1174549224
Otolaryngology - Plastic Surgery within the Head & Neck in Miami, FL

Q: What is Francisco Civantos's NPI number?

The NPI number for Francisco Civantos is 1174549224. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Francisco Civantos's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

1666 NW 10 AVE, BOX 016960 (M851), MIAMI, FL 33136(305) 585-5224 Get Directions Write a Review

NPPES record last updated: March 5, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Francisco J Civantos Md NPPES

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

DR. FRANCISCO J CIVANTOS MD (NPI 1174549224) is an individual plastic surgery within the head & neck provider in Miami, Florida, licensed in Florida (ME61848) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1174549224

Entity TypeIndividualMale

Primary Taxonomy207YX0007X

Provider Legal NameDR. FRANCISCO J CIVANTOSCredential: MD

Location Address1666 NW 10 AVE, BOX 016960 (M851)Miami, FL 33136

Mailing Address1666 Nw 10 Ave, Box 016960 (m851)Miami, FL 33136

Phone(305) 585-5224

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJuly 14, 2006

Last NPPES UpdateMarch 5, 2013

✔ NPI 1174549224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

License✔ Licensed in FL · ME61848

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

1666 NW 10 AVE, Miami, FL 33136

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF02950FL

Medicare UPIN17784FL

Medicaid3708055-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next 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. Francisco J Civantos 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 ID1355537846

PECOS Enrollment IDI20101123000575

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 Francisco Civantos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Miami

Same address

Otolaryngic Allergy

1666 NW 10TH AVE, BOX 016960 M851
Miami, FL 33136

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

NPI 1386694115 (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 8

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.

91 services72 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.

77 services60 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

32 services27 patients

Exam of the nose and throat using an endoscope 92511

An endoscopic examination of the nose and throat is a procedure where a thin, flexible tube with a light and camera attached (endoscope) is used to view these areas in detail. It helps identify any abnormalities or issues that may be causing symptoms like difficulty swallowing, persistent cough, or nasal congestion.

31 services28 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.

26 services26 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

17 services17 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.

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

Referred Medical Equipment & Supplies CMS DME claims 12

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

Tracheal suction catheter, any type other than closed system, each A4624

DME-Other DME · category DE000N

3 suppliers19 claims1,286 services$2.56 avg. paid by Medicare

Oropharyngeal suction catheter, each A4628

DME-Other DME · category DE000N

3 suppliers16 claims70 services$3.53 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

2 suppliers18 claims662 services$4.51 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

3 suppliers16 claims30 services$7.13 avg. paid by Medicare

Tubing, used with suction pump, each A7002

DME-Other DME · category DE000N

3 suppliers17 claims33 services$3.15 avg. paid by Medicare

Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507

DME-Orthotic Devices · category DF000N

1 supplier22 claims1,905 services$2.41 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 6

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

MS. DONNA S LUNDY MA

Speech-Language Pathologist

1666 NW 10 AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-5224

MICHELLE BERNSTEIN MA

Speech-Language Pathologist

1666 NW 10 AVE, BOX 016960 ( M851)
MIAMI, FL 33136

Miami-Dade County (305) 585-5224

DR. ELIZABETH J FRANZMANN MD

Otolaryngology

1666 NW 10 AVE
MIAMI, FL 33136

Miami-Dade County (305) 545-5224

DR. ROY R CASIANO MD

Otolaryngology

1666 NW 10 AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-5224

DR. DAVID J ARNOLD MD

Otolaryngology (Plastic Surgery within the Head & Neck)

1666 NW 10 AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-5224

DR. SIMON I ANGELI MD

Otolaryngology (Otology & Neurotology)

1666 NW 10 AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-5224

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 Francisco Civantos's NPI number?

The NPI number for Francisco Civantos is 1174549224. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Francisco Civantos located?

Francisco Civantos practices at 1666 NW 10 Ave Box 016960 (m851), Miami, FL 33136. The listed phone number is (305) 585-5224.

What is Francisco Civantos's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Francisco Civantos enrolled in Medicare?

Yes. Francisco Civantos 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.

Which organization bills Medicare for Francisco Civantos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Francisco Civantos reassigns Medicare benefits to University Of Miami (Miami, FL). The 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 Francisco Civantos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Francisco Civantos accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Francisco Civantos 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 Francisco Civantos was last updated on March 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.