ANDREW CUDMORE DO
NPI 1366937195
Hospitalist in Miami, FL

Active since June 25, 2018PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
9555 SW 162ND AVE, MIAMI, FL 33196(786) 467-2159 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2021, Jun 25, 2018 (2 updates tracked since 2018).

About Andrew Cudmore Do NPPES

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

ANDREW CUDMORE DO (NPI 1366937195) is an individual hospitalist provider in Miami, Florida, licensed in Florida (OS17945) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366937195
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameANDREW CUDMORECredential: DO
Location Address9555 SW 162ND AVEMiami, FL 33196-6408
Mailing AddressPo Box 198054Atlanta, GA 30384-8054 · (786) 594-6880
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 25, 2018
Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
NPI 1366937195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · OS17945
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
9555 SW 162ND AVE, Miami, FL 33196

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

Andrew Cudmore Do 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 ID5395080527
PECOS Enrollment IDI20210809002864
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 5

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.

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.
167 services80 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.
137 services80 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
74 services73 patients
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.
54 services54 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services28 patients

Hospital Affiliations CMS Care Compare 4

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

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33196 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.

99.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist
9555 SW 162ND AVE
MIAMI, FL 33196
Internal Medicine
9555 SW 162ND AVE
MIAMI, FL 33196
Physician Assistant
9555 SW 162ND AVE
MIAMI, FL 33196
Physician Assistant
9555 SW 162ND AVE
MIAMI, FL 33196
Nurse Practitioner (Adult Health)
9555 SW 162ND AVE
MIAMI, FL 33196
Physician Assistant
9555 SW 162ND AVE
MIAMI, FL 33196
Internal Medicine (Critical Care Medicine)
9555 SW 162ND AVE
MIAMI, FL 33196
Hospitalist
9555 SW 162ND AVE
MIAMI, FL 33196

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 Andrew Cudmore's NPI number?

The NPI number for Andrew Cudmore is 1366937195. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Andrew Cudmore located?

Andrew Cudmore practices at 9555 SW 162nd Ave, Miami, FL 33196. The listed phone number is (786) 467-2159.

What is Andrew Cudmore's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Andrew Cudmore enrolled in Medicare?

Yes. Andrew Cudmore 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 Andrew Cudmore accept?

Health plans from Oscar Health Maintenance Organization of Florida list Andrew Cudmore 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 Andrew Cudmore affiliated with any hospitals?

According to CMS data, Andrew Cudmore is affiliated with Baptist Hospital Of Miami, South Miami Hospital, Doctors Hospital and West Kendall Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Cudmore was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.