THEODORE BRAUNSTEIN PAC
NPI 1316915762
Physician Assistant in Miami, FL

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
4300 ALTON RD, MIAMI, FL 33140(305) 674-2064 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodore Braunstein Pac NPPES

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

THEODORE BRAUNSTEIN PAC (NPI 1316915762) is an individual physician assistant in Miami, Florida, licensed in Florida (PA0002476) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1316915762
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHEODORE BRAUNSTEINCredential: PAC
Location Address4300 ALTON RDMiami, FL 33140-2800
Mailing AddressPo Box 863481Orlando, FL 32886-3481 · (800) 514-1494 · Fax (904) 805-1302
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 10, 2006
Last NPPES UpdateFebruary 26, 2008
NPI 1316915762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA0002476
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4300 ALTON RD, Miami, FL 33140

Other Identifiers 4

Medicare UPINS65867FL
Medicare PINP00361955FL
Medicare PINE1433RFL
Medicare PINE1433QFL

Accepted 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

Theodore Braunstein Pac 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 ID7315957198
PECOS Enrollment IDI20190907000353
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
125 services124 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
94 services89 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
25 services24 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 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
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

Physician Assistant (Medical)
4300 ALTON RD, SUITE 2070
MIAMI BEACH, FL 33140
Surgery
4300 ALTON RD
MIAMI BEACH, FL 33140
Pharmacist
4300 ALTON RD
MIAMI BEACH, FL 33140
Pathology (Anatomic Pathology & Clinical Pathology)
4300 ALTON RD
MIAMI BEACH, FL 33140
Anesthesiology
4300 ALTON RD, SUITE 1401
MIAMI BEACH, FL 33140
Emergency Medicine
4300 ALTON RD
MIAMI BEACH, FL 33140
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140

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 Theodore Braunstein's NPI number?

The NPI number for Theodore Braunstein is 1316915762. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Theodore Braunstein located?

Theodore Braunstein practices at 4300 Alton Rd, Miami, FL 33140. The listed phone number is (305) 674-2064.

What is Theodore Braunstein's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Theodore Braunstein enrolled in Medicare?

Yes. Theodore Braunstein 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 Theodore Braunstein accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Theodore Braunstein 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 Theodore Braunstein affiliated with any hospitals?

According to CMS data, Theodore Braunstein is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Braunstein was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.