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JORGE A LERMA LOPEZ ARNP
NPI 1225629280
Nurse Practitioner in Coral Gables, FL

Active since February 01, 2021PECOS EnrolledAccepts Medicare Assignment
475 BILTMORE WAY STE 101, CORAL GABLES, FL 33134(305) 393-8810(305) 393-8811 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 15, 2021, Feb 25, 2021, Feb 1, 2021 (3 updates tracked since 2021).

About Jorge A Lerma Lopez Arnp NPPES

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

JORGE A LERMA LOPEZ ARNP (NPI 1225629280) is an individual nurse practitioner in Coral Gables, Florida, licensed in Florida (ARNP11009788) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1225629280
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJORGE A LERMA LOPEZCredential: ARNP
Location Address475 BILTMORE WAY STE 101Coral Gables, FL 33134-5724
Mailing Address475 Biltmore Way Ste 101Coral Gables, FL 33134-5724 · (305) 393-8810 · Fax (305) 393-8811
Phone(305) 393-8810
Fax(305) 393-8811
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 1, 2021
Last NPPES UpdateJanuary 14, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1225629280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP11009788
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
475 BILTMORE WAY STE 101, Coral Gables, FL 33134
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Secondary Practice Location 1

Location 13659 S Miami Ave Ste 4002Miami, FL 33133-4231 · Phone (305) 393-8810 · Fax (305) 393-8811

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Jorge A Lerma Lopez Arnp 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 ID5294141826
PECOS Enrollment IDI20210305002292
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 Reassignments

2

Medicare enrollment records show Jorge Lerma Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minimally Invasive Spine Center Of South Florida, LLC
Same address
Orthopaedic Surgery of the Spine
475 BILTMORE WAY STE 101
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1972028884 (305) 393-8810
Neuroscience Associates Inc
124 mi
Pain Medicine
925 TOPPINO DR
Key West, FL 33040
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1063834901 (305) 296-2212

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 3

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.
19 services13 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.
16 services16 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 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.

Other Providers at the Same Location NPPES 5

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

KARINA LYNN GASS DPT, PA-C
Physician Assistant
475 BILTMORE WAY STE 101
CORAL GABLES, FL 33134
Miami-Dade County (305) 393-8810
PARTNERS IN ORTHOPEDIC CONSULTING LLC
Counselor (Mental Health)
475 BILTMORE WAY STE 101
CORAL GABLES, FL 33134
Miami-Dade County (786) 835-9886
DR. JONATHAN ROBERT GOTTLIEB M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
475 BILTMORE WAY STE 101
CORAL GABLES, FL 33134
Miami-Dade County (305) 393-8810
INEABELLE VALLADARES MS
Counselor (Mental Health)
475 BILTMORE WAY STE 101
CORAL GABLES, FL 33134
Miami-Dade County (786) 835-9886
MINIMALLY INVASIVE SPINE CENTER OF SOUTH FLORIDA, LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
475 BILTMORE WAY STE 101
CORAL GABLES, FL 33134
Miami-Dade County (305) 393-8810

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 Jorge Lerma Lopez's NPI number?

The NPI number for Jorge Lerma Lopez is 1225629280. It was assigned to this individual provider in the NPPES registry on February 1, 2021.

Where is Jorge Lerma Lopez located?

Jorge Lerma Lopez practices at 475 Biltmore Way Ste 101, Coral Gables, FL 33134. The listed phone number is (305) 393-8810.

What is Jorge Lerma Lopez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jorge Lerma Lopez enrolled in Medicare?

Yes. Jorge Lerma Lopez 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 organizations bill Medicare for Jorge Lerma Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jorge Lerma Lopez reassigns Medicare benefits to 2 organizations: Minimally Invasive Spine Center Of South Florida, LLC (Coral Gables, FL) and Neuroscience Associates Inc (Key West, FL). Each 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 Jorge Lerma Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jorge Lerma Lopez accept?

Health plans from Oscar Health Maintenance Organization of Florida list Jorge Lerma Lopez 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 Jorge Lerma Lopez affiliated with any hospitals?

According to CMS data, Jorge Lerma Lopez is affiliated with Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Jorge Lerma Lopez was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.