EFRAIN H GONZALEZ M.D.
NPI 1184687329
Internal Medicine - Clinical Cardiac Electrophysiology in Miami, FL

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
91.29/100
CMS Quality Rating
11020 SW 88TH ST STE 102C, MIAMI, FL 33176(786) 703-6120(786) 703-6108 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Efrain H Gonzalez M.d. NPPES

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

EFRAIN H GONZALEZ M.D. (NPI 1184687329) is an individual clinical cardiac electrophysiology provider in Miami, Florida, licensed in Florida (ME57627) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Kendall Hospital, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1184687329
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameEFRAIN H GONZALEZCredential: M.D.
Location Address11020 SW 88TH ST STE 102CMiami, FL 33176
Mailing Address11020 Sw 88th St Ste 102cMiami, FL 33176-1217 · (786) 703-6120 · Fax (786) 703-6108
Fax(786) 703-6108
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateApril 10, 2006
Last NPPES UpdateJune 12, 2018
NPI 1184687329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in FL · ME57627
Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License ME 57627 (FL)
11020 SW 88TH ST STE 102C, Miami, FL 33176

Secondary Practice Location 1

Location 17400 SW 87th Ave, Suite 100Miami, FL 33173-5458 · Phone (305) 275-8200 · Fax (305) 274-7812

Other Identifiers 1

Medicaid009322000FL

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

Efrain H Gonzalez 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 ID8820984461
PECOS Enrollment IDI20040223000390
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 10

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 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.
468 services202 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
142 services122 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system 93288
An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.
91 services52 patients
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.
78 services73 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
72 services15 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system 93289
This procedure evaluates your implantable defibrillator system, which helps regulate your heart rhythm. It can involve single, dual, or multiple lead systems. It's essential to ensure the device is working correctly and adjusting to your heart's needs.
55 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100209
Location11750 Bird RdMiami, FL 33175 · Miami-Dade County
Emergency services Birthing friendly

Mariners Hospital

Critical Access Hospitals · Tavernier, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101313
Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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.

91.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality62.59
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
97%4,066 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
95%906 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
95%1,754 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 85% · 1,226 patients
Patients screened: 86% · 1,226 patients
0%49 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
55%917 patients2/55-star benchmark: 91%
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

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

Internal Medicine (Cardiovascular Disease)
11020 SW 88TH ST STE 102C
MIAMI, FL 33176

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 Efrain Gonzalez's NPI number?

The NPI number for Efrain Gonzalez is 1184687329. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Efrain Gonzalez located?

Efrain Gonzalez practices at 11020 SW 88th St Ste 102C, Miami, FL 33176. The listed phone number is (786) 703-6120.

What is Efrain Gonzalez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Efrain Gonzalez enrolled in Medicare?

Yes. Efrain Gonzalez 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 Efrain Gonzalez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Efrain Gonzalez 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 Efrain Gonzalez affiliated with any hospitals?

According to CMS data, Efrain Gonzalez is affiliated with Hca Florida Kendall Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for Efrain Gonzalez was last updated on June 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.