CHRISTOPHER JORGE DA FONSECA M.D.
NPI 1194168104
Family Medicine in Miami, FL

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment

99.93/100

CMS Quality Rating

12314 SW 127TH AVE, MIAMI, FL 33186(786) 595-8080(786) 533-9381 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 20, 2022, Feb 9, 2022, May 12, 2016 (3 updates tracked since 2016).

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About Christopher Jorge Da Fonseca M.d. NPPES

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

CHRISTOPHER JORGE DA FONSECA M.D. (NPI 1194168104) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME121862) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2013).

NPPES Registry Identity

NPI1194168104

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCHRISTOPHER JORGE DA FONSECACredential: M.D.

Location Address12314 SW 127TH AVEMiami, FL 33186-6579

Mailing AddressPo Box 198054Atlanta, GA 30384-8054 · (786) 595-8080

Phone(786) 595-8080

Fax(786) 533-9381

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2013

Enumeration DateApril 9, 2013

Last NPPES UpdateJuly 20, 20223 updates tracked since enumeration

NPPES CertifiedJuly 20, 2022

✔ NPI 1194168104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME121862

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12314 SW 127TH AVE, Miami, FL 33186

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.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

Christopher Jorge Da Fonseca 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 ID9436446044

PECOS Enrollment IDI20160926001996

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 12

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.

184 services87 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

44 services44 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

40 services40 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.

18 services14 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

17 services14 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

17 services17 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.

17 services17 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

17 services17 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

15 services13 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

15 services15 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

12 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.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100008

Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County

Emergency services Birthing friendly

Homestead Hospital

Acute Care Hospitals · Homestead, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100125

Location975 Baptist WayHomestead, FL 33033 · Miami-Dade County

Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100154

Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County

Emergency services Birthing friendly

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100314

Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33186 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.

99.93/100

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

Quality

84.3

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers17 claims45 services$6.82 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier17 claims17 services$17.03 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 10

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

MS. NATACHA BORRAJO RD

Dietitian, Registered

12314 SW 127TH AVE
MIAMI, FL 33186

Miami-Dade County (786) 595-8080

MRS. YANIRA EMILIA RUIDIAZ MSW

Social Worker

12314 SW 127TH AVE
MIAMI, FL 33186

Miami-Dade County (305) 333-5230

MRS. EDLINA YOLANDA HILSON ARNP

Nurse Practitioner

12314 SW 127TH AVE, 12314 SW 127 AVENUE MIAMI FLORIDA 33033
MIAMI, FL 33186

Miami-Dade County (786) 595-8080

BAPTIST HEALTH MEDICAL GROUP PHYSICIANS, LLC

Internal Medicine

12314 SW 127TH AVE
MIAMI, FL 33186

Miami-Dade County (786) 595-8080

DR. PATRICIA FEITO M.D.

Family Medicine

12314 SW 127TH AVE
MIAMI, FL 33186

Miami-Dade County (786) 595-8080

DR. JEREMY LAURENCE THARKUR MD

Family Medicine

12314 SW 127TH AVE
MIAMI, FL 33186

Miami-Dade County (786) 595-8080

GISELLE SOSA VALDES APRN

Nurse Practitioner (Family)

12314 SW 127TH AVE
MIAMI, FL 33186

Miami-Dade County (786) 595-8080

DANIEL RAMON MD

Family Medicine

12314 SW 127TH AVE
MIAMI, FL 33186

Miami-Dade County (786) 595-8080

CHRISTOPHER JORGE DA FONSECA M.D.
NPI 1194168104
Family Medicine in Miami, FL

About Christopher Jorge Da Fonseca M.d. NPPES

NPPES Registry Identity

Specialties & Licenses

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Areas of Expertise CMS Part B claims 12

Hospital Affiliations CMS Care Compare 4

Baptist Hospital Of Miami

Homestead Hospital

South Miami Hospital

West Kendall Baptist Hospital

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Referred Medical Equipment & Supplies CMS DME claims 2

Other Providers at the Same Location NPPES 10

Frequently Asked Questions

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