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GUARI MASCARO M.D
NPI 1265485213
Family Medicine in Miami, FL

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
7821 SW 24TH ST, SUITE 120, MIAMI, FL 33155(305) 261-2236(305) 261-2324 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Guari Mascaro M.d NPPES

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

GUARI MASCARO M.D (NPI 1265485213) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME 0081213) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hialeah, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1265485213
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGUARI MASCAROCredential: M.D
Location Address7821 SW 24TH ST, SUITE 120Miami, FL 33155-6542
Mailing Address7821 Sw 24th St, Suite 120Miami, FL 33155-6542 · (305) 261-2236 · Fax (305) 261-2324
Phone(305) 261-2236
Fax(305) 261-2324
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1265485213 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 · ME 0081213
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.
7821 SW 24TH ST, Miami, FL 33155
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Secondary Practice Location 1

Location 1553 E 9th St Ste BHialeah, FL 33010-4549 · Phone (786) 624-1220 · Fax (786) 206-3071

Other Identifiers 2

Medicaid257342301FL
Other1265485213FL · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Molina Healthcare, 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

Guari Mascaro 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 ID7517860877
PECOS Enrollment IDI20040202000769
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 Guari Mascaro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Guari Mascaro P A
Same address
Family Medicine
7821 SW 24TH ST, SUITE120
Miami, FL 33155
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1861445272 (305) 261-2236
Healing Sensation Inc
6.6 mi
Multi-Specialty
553B E 9TH ST
Hialeah, FL 33010
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1710766746 (786) 624-1220

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 2

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
99 services19 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
98 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33155 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.

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…
69%181 patients3/55-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 5

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
4 suppliers29 claims76 services$6.44 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier13 claims13 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers17 claims26 services$1.13 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$71.63 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.16 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

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

GUARI MASCARO P A
Family Medicine
7821 SW 24TH ST, SUITE120
MIAMI, FL 33155
Miami-Dade County (305) 261-2236

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 Guari Mascaro's NPI number?

The NPI number for Guari Mascaro is 1265485213. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Guari Mascaro located?

Guari Mascaro practices at 7821 SW 24th St Suite 120, Miami, FL 33155. The listed phone number is (305) 261-2236.

What is Guari Mascaro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Guari Mascaro enrolled in Medicare?

Yes. Guari Mascaro 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 Guari Mascaro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guari Mascaro reassigns Medicare benefits to 2 organizations: Guari Mascaro P A (Miami, FL) and Healing Sensation Inc (Hialeah, 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 Guari Mascaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Guari Mascaro accept?

Health plans from AmeriHealth Caritas Next, Molina Healthcare and Oscar Health Maintenance Organization of Florida list Guari Mascaro 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 Guari Mascaro was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.