GUSTAVO RUBIO M.D.
NPI 1417299702
Colon & Rectal Surgery in Miami, FL

Q: What is Gustavo Rubio's NPI number?

The NPI number for Gustavo Rubio is 1417299702. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Q: What is Gustavo Rubio's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Gustavo Rubio was last updated on June 3, 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.

Active since March 25, 2013PECOS EnrolledAccepts Medicare Assignment

87.41/100

CMS Quality Rating

9195 SUNSET DR STE 230, MIAMI, FL 33173(305) 271-0300 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 14, 2021, Jun 7, 2020 (2 updates tracked since 2020).

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About Gustavo Rubio M.d. NPPES

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

GUSTAVO RUBIO M.D. (NPI 1417299702) is an individual colon & rectal surgery provider in Miami, Florida, licensed in Florida (ME143977) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of University Of Michigan Medical School (2013).

NPPES Registry Identity

NPI1417299702

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameGUSTAVO RUBIOCredential: M.D.

Location Address9195 SUNSET DR STE 230Miami, FL 33173-3488

Mailing Address9195 Sw 72nd St Ste 230Miami, FL 33173-3488 · (786) 466-6960 · Fax (305) 279-1994

Phone(305) 271-0300

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2013

Enumeration DateMarch 25, 2013

Last NPPES UpdateJune 3, 20222 updates tracked since enumeration

NPPES CertifiedJune 3, 2022

✔ NPI 1417299702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in FL · ME143977

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License ME143977 (FL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9195 SUNSET DR STE 230, Miami, FL 33173

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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

Gustavo Rubio 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 ID6901222843

PECOS Enrollment IDI20210803003429

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.

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100022

Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33173 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.

87.41/100

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

Scored as part of a group practice

Quality

80.73

Improvement Activities

Cost

60.03

Other Providers at the Same Location NPPES

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

MARIANNA S ZEICHEN M.D

Colon & Rectal Surgery

9195 SUNSET DR STE 230
MIAMI, FL 33173

Miami-Dade County (305) 271-0300

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 Gustavo Rubio's NPI number?

The NPI number for Gustavo Rubio is 1417299702. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Where is Gustavo Rubio located?

Gustavo Rubio practices at 9195 Sunset Dr Ste 230, Miami, FL 33173. The listed phone number is (305) 271-0300.

What is Gustavo Rubio's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Gustavo Rubio enrolled in Medicare?

Yes. Gustavo Rubio 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 Gustavo Rubio accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list Gustavo Rubio 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 Gustavo Rubio affiliated with any hospitals?

According to CMS data, Gustavo Rubio is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Gustavo Rubio was last updated on June 3, 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.