MR. ROMAN LUIS MALAGON MSN, APRN
NPI 1205307808
Nurse Practitioner - Family in Cutler Bay, FL

Active since December 09, 2018PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
9535 SW 187TH ST, CUTLER BAY, FL 33157(786) 287-3126(786) 549-0172 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2022, May 9, 2022, Dec 9, 2018 (3 updates tracked since 2018).

About Mr. Roman Luis Malagon Msn, Aprn NPPES

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

MR. ROMAN LUIS MALAGON MSN, APRN (NPI 1205307808) is an individual family provider in Cutler Bay, Florida, licensed in Florida (APRN11000237) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, is affiliated with Homestead Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205307808
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. ROMAN LUIS MALAGONCredential: MSN, APRN
Location Address9535 SW 187TH STCutler Bay, FL 33157-7861
Mailing Address9535 Sw 187th StCutler Bay, FL 33157-7861 · (786) 287-3126 · Fax (786) 549-0172
Fax(786) 549-0172
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 9, 2018
Last NPPES UpdateOctober 26, 20223 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
NPI 1205307808 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 · APRN11000237
9535 SW 187TH ST, Cutler Bay, FL 33157

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

Mr. Roman Luis Malagon Msn, Aprn 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 ID1355672122
PECOS Enrollment IDI20191008003892
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 5

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.
129 services94 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.
49 services46 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.
33 services29 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.
31 services31 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.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33157 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
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims14 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 2

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

Dentist
9535 SW 187TH ST
CUTLER BAY, FL 33157
Dentist
9535 SW 187TH ST
CUTLER BAY, FL 33157

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 Roman Luis Malagon's NPI number?

The NPI number for Roman Luis Malagon is 1205307808. It was assigned to this individual provider in the NPPES registry on December 9, 2018.

Where is Roman Luis Malagon located?

Roman Luis Malagon practices at 9535 SW 187th St, Cutler Bay, FL 33157. The listed phone number is (786) 287-3126.

What is Roman Luis Malagon's specialty?

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

Is Roman Luis Malagon enrolled in Medicare?

Yes. Roman Luis Malagon 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 Roman Luis Malagon accept?

Health plans from Oscar Health Maintenance Organization of Florida list Roman Luis Malagon 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 Roman Luis Malagon affiliated with any hospitals?

According to CMS data, Roman Luis Malagon is affiliated with Homestead Hospital.

When was this NPI record last updated?

The NPPES record for Roman Luis Malagon was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.