JHONATHAN DUARTE MD
NPI 1326451188
Obstetrics & Gynecology in Miami, FL

Q: What is Jhonathan Duarte's NPI number?

The NPI number for Jhonathan Duarte is 1326451188. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Q: What is Jhonathan Duarte's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jhonathan Duarte was last updated on October 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 09, 2014PECOS EnrolledAccepts Medicare Assignment

89.67/100

CMS Quality Rating

8200 SW 117TH AVE STE 304, MIAMI, FL 33183(305) 226-5651(305) 226-2424 Get Directions Write a Review

NPPES record last updated: October 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jhonathan Duarte Md NPPES

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

JHONATHAN DUARTE MD (NPI 1326451188) is an individual obstetrics & gynecology provider in Miami, Florida, licensed in Florida (ME136101) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of University Central Del Caribe Escuela De Medicina (2014).

NPPES Registry Identity

NPI1326451188

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameJHONATHAN DUARTECredential: MD

Location Address8200 SW 117TH AVE STE 304Miami, FL 33183-4826

Mailing Address1627 Chew StAllentown, PA 18102-3648

Phone(305) 226-5651

Fax(305) 226-2424

Sole ProprietorNo

Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 2014

Enumeration DateJune 9, 2014

Last NPPES UpdateOctober 8, 2018

✔ NPI 1326451188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME136101

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

8200 SW 117TH AVE STE 304, Miami, FL 33183

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.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

Jhonathan Duarte Md 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 ID9739426149

PECOS Enrollment IDI20190123002493

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33183 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

$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.

89.67/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.86

Promoting Interoperability

100

Improvement Activities

Cost

67.71

Reported Quality Measures

Breast Cancer Screening

64%132 patients3/55-star benchmark: 93%

Cervical Cancer Screening

89%900 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

28%189 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

35%209 patients2/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

91%1,699 patients4/55-star benchmark: 100%

e-Prescribing

98%252 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

19%767 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

36%1,574 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 817 patients

0%817 patients

Provide Patients Electronic Access to Their Health Information

97%469 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.

Other Providers at the Same Location NPPES 13

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

CARLOS LUIS MARTINEZ M.D

Obstetrics & Gynecology