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DR. JOSE GABRIEL MEDINA SMESTER M.D.
NPI 1295053593
Internal Medicine in Miami, FL

Active since May 11, 2010PECOS EnrolledAccepts Medicare Assignment
801 BRICKELL AVE, SUITE 954, MIAMI, FL 33131(786) 375-5098(786) 375-5033 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2019, Feb 3, 2017 (2 updates tracked since 2017).

About Dr. Jose Gabriel Medina Smester M.d. NPPES

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

DR. JOSE GABRIEL MEDINA SMESTER M.D. (NPI 1295053593) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME117746) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1295053593
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSE GABRIEL MEDINA SMESTERCredential: M.D.
Location Address801 BRICKELL AVE, SUITE 954Miami, FL 33131-2951
Mailing Address801 Brickell Ave, Ste 900Miami, FL 33131-2979 · (786) 477-4292 · Fax (786) 574-5584
Phone(786) 375-5098
Fax(786) 375-5033
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMay 11, 2010
Last NPPES UpdateDecember 13, 20192 updates tracked since enumeration
✔ NPI 1295053593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME117746
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 ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License ME117746 (FL)
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License ME117746 (FL)
Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X · License ME117746 (FL)
801 BRICKELL AVE, Miami, FL 33131
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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 and accepts Medicare assignment

Dr. Jose Gabriel Medina Smester 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 ID3779809025
PECOS Enrollment IDI20150303001667, I20180723002355
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

5

Medicare enrollment records show Jose Medina Smester reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jose Medina MD PC
400 mi
Multi-Specialty
3334 GREYSTONE WAY
Valdosta, GA 31605
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1407047269 (229) 247-1667
Apogee Medical Group Georgia Inc
612 mi
Internal Medicine
705 DIXIE ST
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 335 clinicians in this Medicare group
NPI 1629025143 (770) 836-9667
Apogee Medical Group, West Virginia, PLLC
839 mi
General Practice
20 HOSPITAL DR
Logan, WV 25601
  • Reassigned Medicare billing, West Virginia enrollment
  • 113 clinicians in this Medicare group
NPI 1669708442 (304) 831-1643
Apogee Medical Group Kansas PA
1,975 mi
Hospitalist
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Kansas enrollment
  • 26 clinicians in this Medicare group
NPI 1831568450 (602) 778-3600
Apogee Medical Group, Florida Inc
1,975 mi
Hospitalist
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Florida enrollment
  • 160 clinicians in this Medicare group
NPI 1386916104 (602) 778-3600

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
71 services65 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services18 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33131 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims84 services$1.80 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers52 claims52 services$16.05 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
4 suppliers63 claims63 services$83.11 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.

NEUROPSYCHOLOGICAL INSTITUE, P.A.
Psychologist (Clinical)
801 BRICKELL AVE, SUITE 900
MIAMI, FL 33131
Miami-Dade County (305) 632-9902
DR. SHAWNA MARIE FRESHWATER PH.D.
Clinical Neuropsychologist
801 BRICKELL AVE, SUITE 900
MIAMI, FL 33131
Miami-Dade County (305) 632-9902

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 Jose Medina Smester's NPI number?

The NPI number for Jose Medina Smester is 1295053593. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Jose Medina Smester located?

Jose Medina Smester practices at 801 Brickell Ave Suite 954, Miami, FL 33131. The listed phone number is (786) 375-5098.

What is Jose Medina Smester's specialty?

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

Is Jose Medina Smester enrolled in Medicare?

Yes. Jose Medina Smester 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 Jose Medina Smester's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Medina Smester reassigns Medicare benefits to 5 organizations: Jose Medina MD PC (Valdosta, GA), Apogee Medical Group Georgia Inc (Carrollton, GA), Apogee Medical Group, West Virginia, PLLC (Logan, WV), Apogee Medical Group Kansas PA (Scottsdale, AZ) and Apogee Medical Group, Florida Inc (Scottsdale, AZ). 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 Jose Medina Smester's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Medina Smester accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Jose Medina Smester 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 Jose Medina Smester affiliated with any hospitals?

According to CMS data, Jose Medina Smester is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Jose Medina Smester was last updated on December 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.