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DR. FRANKLIN PIMENTEL SR. M.D.
NPI 1235282815
Internal Medicine in Coral Gables, FL

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
747 PONCE DE LEON BLVD, SUITE # 408, CORAL GABLES, FL 33134(305) 445-0700(305) 447-1638 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Franklin Pimentel Sr. M.d. NPPES

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

DR. FRANKLIN PIMENTEL SR. M.D. (NPI 1235282815) is an individual internal medicine provider in Coral Gables, Florida, licensed in Florida (ME 51304) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1235282815
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. FRANKLIN PIMENTEL SR.Credential: M.D.
Location Address747 PONCE DE LEON BLVD, SUITE # 408Coral Gables, FL 33134-2049
Mailing Address747 Ponce De Leon Blvd, Suite # 408Coral Gables, FL 33134-2049 · (305) 445-0700 · Fax (305) 447-1638
Phone(305) 445-0700
Fax(305) 447-1638
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 13, 2010
✔ NPI 1235282815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME 51304✔ Licensed in FL · ME0051304
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License ME 51304 (FL)
747 PONCE DE LEON BLVD, Coral Gables, FL 33134
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified07656FL · Medicare Provider Number
Medicaid370148400FL
Medicare UPINE21390FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Dr. Franklin Pimentel Sr. 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 ID2769647684
PECOS Enrollment IDI20120710000190
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.

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.
139 services50 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.
33 services33 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.
21 services19 patients

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
$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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%70 patients4/55-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

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 supplier11 claims11 services$17.54 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.

LUIS R GARCIA-MAYOL MD
Internal Medicine (Nephrology)
747 PONCE DE LEON BLVD, SUITE 605
CORAL GABLES, FL 33134
Miami-Dade County (305) 445-4535
FRANKLIN PIMENTEL M.D.P.A.
Internal Medicine
747 PONCE DE LEON BLVD, SUITE 408
CORAL GABLES, FL 33134
Miami-Dade County (305) 445-0700
MARTHA BOFILL & ASSOCIATES PSY CORP
Psychologist (Clinical)
747 PONCE DE LEON BLVD, SUITE 501
CORAL GABLES, FL 33134
Miami-Dade County (786) 587-2617
FRANCISCO J RICART MD PA
Psychiatry & Neurology (Psychiatry)
747 PONCE DE LEON BLVD, SUITE 600
CORAL GABLES, FL 33134
Miami-Dade County (305) 441-5880
AGUILAR & BALLEN PA
Specialist
747 PONCE DE LEON BLVD, SUITE 402
CORAL GABLES, FL 33134
Miami-Dade County (305) 774-5700
RAISA CORTES FONTANET
Dentist (General Practice)
747 PONCE DE LEON BLVD
CORAL GABLES, FL 33134
Miami-Dade County (305) 444-8591
MICHEL HERNANDEZ HERNANDEZ APRN
Nurse Practitioner
747 PONCE DE LEON BLVD
CORAL GABLES, FL 33134
Miami-Dade County (305) 529-9901
FLORIDA GERIATRICS ASSOCIATES, INC
Internal Medicine (Geriatric Medicine)
747 PONCE DE LEON BLVD, SUITE 607
CORAL GABLES, FL 33134
Miami-Dade County (305) 444-7779

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 Franklin Pimentel's NPI number?

The NPI number for Franklin Pimentel is 1235282815. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Franklin Pimentel located?

Franklin Pimentel practices at 747 Ponce De Leon Blvd Suite # 408, Coral Gables, FL 33134. The listed phone number is (305) 445-0700.

What is Franklin Pimentel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Franklin Pimentel enrolled in Medicare?

Yes. Franklin Pimentel 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 Franklin Pimentel accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Franklin Pimentel 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.

When was this NPI record last updated?

The NPPES record for Franklin Pimentel was last updated on July 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.