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MISS MARIA GABRIELA TUPAYACHI ORTIZ M.D
NPI 1174787576
Internal Medicine - Pulmonary Disease in Miami, FL

Active since July 15, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1600 NW 10TH AVE, RM 7056, MIAMI, FL 33136(305) 243-6388(305) 243-6372 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Maria Gabriela Tupayachi Ortiz M.d NPPES

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

MISS MARIA GABRIELA TUPAYACHI ORTIZ M.D (NPI 1174787576) is an individual pulmonary disease provider in Miami, Florida, licensed in Kentucky (46755) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1174787576
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameMISS MARIA GABRIELA TUPAYACHI ORTIZCredential: M.D
Location Address1600 NW 10TH AVE, RM 7056Miami, FL 33136-1015
Mailing Address1600 Nw 10th Ave, Rm 7056Miami, FL 33136-1015 · (305) 243-6388 · Fax (305) 243-6372
Phone(305) 243-6388
Fax(305) 243-6372
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 15, 2008
Last NPPES UpdateMay 5, 2020
NPPES CertifiedMay 5, 2020
✔ NPI 1174787576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in KY · 46755
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 46755 (KY)
1600 NW 10TH AVE, Miami, FL 33136
Open in Google Maps ↗

Secondary Practice Location 1

Location 1740 S Limestone L543 Ky Clinic, UK Div of Pulmonary, Critical CareLexington, KY 40536-0284 · Phone (859) 323-5045 · Fax (859) 257-2418

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Miss Maria Gabriela Tupayachi Ortiz 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 ID2062631849
PECOS Enrollment IDI20170112000395
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 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.

Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
67 services42 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.
55 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
51 services24 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services23 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.52
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
24%37 patients2/55-star benchmark: 93%
Cervical Cancer Screening
20%59 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
37%62 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
64%22 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
21%24 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
29%24 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%421 patients4/55-star benchmark: 100%
e-Prescribing
98%331 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%53 patients4/55-star benchmark: 100%
HIV Screening
34%131 patients3/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
62%162 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
90%134 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%305 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 99% · 112 patients
99%112 patients
Provide Patients Electronic Access to Their Health Information
100%106 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 13% · 54 patients
Patients totalRate: 13% · 54 patients
11%54 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers26 claims26 services$15.13 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier13 claims13 services$817.50 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers21 claims21 services$3.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers60 claims60 services$72.09 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
12 suppliers34 claims6,506 services$0.03 avg. paid by Medicare
Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7639
DME-Drugs Administered Through DME · category DG000N
8 suppliers39 claims3,000 services$38.25 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 20

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

DR. JONETTE ELIZABETH KERI M.D., PH. D.
Dermatology
1600 NW 10TH AVE, ROOM 2023A (R-250)
MIAMI, FL 33136
Miami-Dade County (305) 243-4472
UNIVERSITY OF MIAMI
Clinical Medical Laboratory
1600 NW 10TH AVE, SUITE # 7109B
MIAMI, FL 33136
Miami-Dade County (305) 243-7688
GREGORY E HOLT MD
Internal Medicine (Pulmonary Disease)
1600 NW 10TH AVE, RSMB, ROOM 7052
MIAMI, FL 33136
Miami-Dade County (305) 243-6388
KATHERINE CHINEMEREM UJUNWA
Student in an Organized Health Care Education/Training Program
1600 NW 10TH AVE
MIAMI, FL 33136
Miami-Dade County (980) 422-2636
TIMOTHY ROBERT MADIGAN
Student in an Organized Health Care Education/Training Program
1600 NW 10TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3234
SHAUNAK MISHRA
Student in an Organized Health Care Education/Training Program
1600 NW 10TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-6551
KHUSHI HEMENDRA SHAH
Student in an Organized Health Care Education/Training Program
1600 NW 10TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3234
UNIVERSITY OF MIAMI
Clinical Medical Laboratory
1600 NW 10TH AVE, SUITE #8150
MIAMI, FL 33136
Miami-Dade County (305) 243-3939

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 Maria Tupayachi Ortiz's NPI number?

The NPI number for Maria Tupayachi Ortiz is 1174787576. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is Maria Tupayachi Ortiz located?

Maria Tupayachi Ortiz practices at 1600 NW 10th Ave Rm 7056, Miami, FL 33136. The listed phone number is (305) 243-6388.

What is Maria Tupayachi Ortiz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Maria Tupayachi Ortiz enrolled in Medicare?

Yes. Maria Tupayachi Ortiz 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 Maria Tupayachi Ortiz accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Maria Tupayachi Ortiz 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 Maria Tupayachi Ortiz affiliated with any hospitals?

According to CMS data, Maria Tupayachi Ortiz is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Maria Tupayachi Ortiz was last updated on May 5, 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.