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GUILLERMO P GUBBINS M.D.
NPI 1336148972
Internal Medicine - Gastroenterology in Coral Gables, FL

Active since July 16, 2005PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
5000 UNIVERSITY DR, SUITE 3370, CORAL GABLES, FL 33146(305) 662-6170(305) 662-6176 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Guillermo P Gubbins M.d. NPPES

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

GUILLERMO P GUBBINS M.D. (NPI 1336148972) is an individual gastroenterology provider in Coral Gables, Florida, licensed in Florida (ME0065439) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1336148972
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameGUILLERMO P GUBBINSCredential: M.D.
Location Address5000 UNIVERSITY DR, SUITE 3370Coral Gables, FL 33146-2008
Mailing Address5000 University Dr, Suite 3370Coral Gables, FL 33146-2008 · (305) 662-6170 · Fax (305) 662-6176
Phone(305) 662-6170
Fax(305) 662-6176
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 16, 2005
Last NPPES UpdateDecember 22, 2010
✔ NPI 1336148972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME0065439
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5000 UNIVERSITY DR, Coral Gables, FL 33146
Open in Google Maps ↗

Other Identifiers 3

Medicaid375047700FL
Medicare ID-Type Unspecified25134FL
Medicare UPINF26046

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Guillermo P Gubbins 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 ID5193840817
PECOS Enrollment IDI20100917000228
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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
117 services79 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
27 services24 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
24 services24 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33146 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.

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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

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.

JULIETTE MORALES
Nurse Practitioner (Critical Care Medicine)
5000 UNIVERSITY DR
CORAL GABLES, FL 33146
Miami-Dade County (786) 308-3000
SPQ MEDICAL LLC
Emergency Medicine
5000 UNIVERSITY DR
MIAMI, FL 33146
Miami-Dade County (786) 294-1707
BARBARA BESSA CRNA
Nurse Anesthetist, Certified Registered
5000 UNIVERSITY DR
CORAL GABLES, FL 33146
Miami-Dade County (305) 448-9018
ANNETTE VICTORIA DE LEON
Hospitalist
5000 UNIVERSITY DR
CORAL GABLES, FL 33146
Miami-Dade County (786) 308-3000
EDUARDO E VILLALOBOS MD
Radiology (Diagnostic Radiology)
5000 UNIVERSITY DR
MIAMI, FL 33146
Miami-Dade County (786) 308-2302
DOCTORS HOSPITAL INC
Pharmacy (Community/Retail Pharmacy)
5000 UNIVERSITY DR
CORAL GABLES, FL 33146
Miami-Dade County (786) 308-4204
JANY FUENTES APRN
Internal Medicine (Geriatric Medicine)
5000 UNIVERSITY DR
MIAMI, FL 33146
Miami-Dade County (305) 505-0361
SILVIO S TANEV MD
Pathology (Clinical Pathology/Laboratory Medicine)
5000 UNIVERSITY DR
CORAL GABLES, FL 33146
Miami-Dade County (305) 669-3471

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 Guillermo Gubbins's NPI number?

The NPI number for Guillermo Gubbins is 1336148972. It was assigned to this individual provider in the NPPES registry on July 16, 2005.

Where is Guillermo Gubbins located?

Guillermo Gubbins practices at 5000 University Dr Suite 3370, Coral Gables, FL 33146. The listed phone number is (305) 662-6170.

What is Guillermo Gubbins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Guillermo Gubbins enrolled in Medicare?

Yes. Guillermo Gubbins 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 Guillermo Gubbins accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida and 2 other insurers list Guillermo Gubbins 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 Guillermo Gubbins affiliated with any hospitals?

According to CMS data, Guillermo Gubbins is affiliated with Baptist Hospital Of Miami, South Miami Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Guillermo Gubbins was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.