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DR. MYLAI GAROFALO M.D.
NPI 1265724355
Pediatrics in Palm Springs, FL

Active since May 06, 2011PECOS Enrolled
3199 LAKE WORTH RD STE B2, PALM SPRINGS, FL 33461(561) 621-1801(561) 331-4603 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mylai Garofalo M.d. NPPES

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

DR. MYLAI GAROFALO M.D. (NPI 1265724355) is an individual pediatrics provider in Palm Springs, Florida, licensed in Florida (ME 109526) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clewiston.

NPPES Registry Identity

NPI1265724355
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MYLAI GAROFALOCredential: M.D.
Location Address3199 LAKE WORTH RD STE B2Palm Springs, FL 33461-3652
Mailing Address3199 Lake Worth Rd Ste B2Palm Springs, FL 33461-3652 · (561) 621-1801 · Fax (561) 331-4603
Phone(561) 621-1801
Fax(561) 331-4603
Sole ProprietorNo
Enumeration DateMay 6, 2011
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1265724355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME 109526
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3199 LAKE WORTH RD STE B2, Palm Springs, FL 33461
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Secondary Practice Location 1

Location 1315 S W C Owen AveClewiston, FL 33440-3637 · Phone (863) 983-7813

Other Identifiers 1

Medicaid003773700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mylai Garofalo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mylai Garofalo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Dream Care PA
Same address
Pediatrics
3199 LAKE WORTH RD
Palm Springs, FL 33461
  • Reassigned Medicare billing, Florida enrollment
NPI 1497451983 (561) 621-1801

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33461 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
14%271 patients1/55-star benchmark: 95%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%193 patients5/55-star benchmark: 96%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 92% · 709 patients
Patients physicalActivity: 84% · 709 patients
100%709 patients
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.

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 Mylai Garofalo's NPI number?

The NPI number for Mylai Garofalo is 1265724355. It was assigned to this individual provider in the NPPES registry on May 6, 2011.

Where is Mylai Garofalo located?

Mylai Garofalo practices at 3199 Lake Worth Rd Ste B2, Palm Springs, FL 33461. The listed phone number is (561) 621-1801.

What is Mylai Garofalo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mylai Garofalo enrolled in Medicare?

Yes. Mylai Garofalo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mylai Garofalo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mylai Garofalo reassigns Medicare benefits to Pediatric Dream Care PA (Palm Springs, FL). The 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 Mylai Garofalo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mylai Garofalo accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Mylai Garofalo 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 Mylai Garofalo was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.