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ROBERTO ARCE MD
NPI 1396747127
Internal Medicine - Cardiovascular Disease in Miami, FL

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
11020 N KENDALL DR, SUITE 102-C, MIAMI, FL 33176(305) 274-0170 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roberto Arce Md NPPES

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

ROBERTO ARCE MD (NPI 1396747127) is an individual cardiovascular disease provider in Miami, Florida, licensed in Florida (ME0042856) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1982).

NPPES Registry Identity

NPI1396747127
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameROBERTO ARCECredential: MD
Location Address11020 N KENDALL DR, SUITE 102-CMiami, FL 33176-1246
Mailing Address11020 N Kendall Dr, Suite 102-cMiami, FL 33176-1246 · (305) 274-0170
Phone(305) 274-0170
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1982
Enumeration DateAugust 11, 2005
Last NPPES UpdateMay 31, 2022
NPPES CertifiedMay 31, 2022
✔ NPI 1396747127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME0042856
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
11020 N KENDALL DR, Miami, FL 33176
Open in Google Maps ↗

Other Identifiers 5

Other005400FL · Nhp Hmo
Medicaid040624400FL
Other000295958FL · One Source Hmo
Other33629FL · Vista Of S Florida Hmo
Other222794FL · Avmed Hmo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.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

Roberto Arce 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 ID8921062282
PECOS Enrollment IDI20041117000135
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 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.
447 services249 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
343 services265 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
47 services47 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.
22 services22 patients
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.
22 services19 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.
20 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Homestead Hospital

Acute Care Hospitals · Homestead, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100125
Location975 Baptist WayHomestead, FL 33033 · 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 33176 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.

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 2

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

ROBERTO ARCE MD PA
Internal Medicine (Cardiovascular Disease)
11020 N KENDALL DR, SUITE 102-C
MIAMI, FL 33176
Miami-Dade County (305) 274-0170
JEFFREY MARC EISNER, D.M.D., P.A.
Oral & Maxillofacial Surgery
11020 N KENDALL DR, SUITE 106
MIAMI, FL 33176
Miami-Dade County (305) 279-8600

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 Roberto Arce's NPI number?

The NPI number for Roberto Arce is 1396747127. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Roberto Arce located?

Roberto Arce practices at 11020 N Kendall Dr Suite 102-C, Miami, FL 33176. The listed phone number is (305) 274-0170.

What is Roberto Arce's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Roberto Arce enrolled in Medicare?

Yes. Roberto Arce 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 Roberto Arce accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Roberto Arce 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 Roberto Arce affiliated with any hospitals?

According to CMS data, Roberto Arce is affiliated with Baptist Hospital Of Miami, Homestead Hospital, South Miami Hospital, Doctors Hospital and West Kendall Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Roberto Arce was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.