OSVALDO PLANCHE UTRIA MD
NPI 1427229640
Pediatrics in Coral Gables, FL

Active since March 15, 2008PECOS Enrolled
5955 PONCE DE LEON BLVD., CORAL GABLES, FL 33146(305) 661-1515(305) 662-3723 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Osvaldo Planche Utria Md NPPES

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

OSVALDO PLANCHE UTRIA MD (NPI 1427229640) is an individual pediatrics provider in Coral Gables, Florida, licensed in Florida (ME 101499) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427229640
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameOSVALDO PLANCHE UTRIACredential: MD
Location Address5955 PONCE DE LEON BLVD.Coral Gables, FL 33146
Mailing Address5955 Ponce De Leon Blvd.Coral Gables, FL 33146 · (305) 661-1515 · Fax (305) 662-3723
Fax(305) 662-3723
Sole ProprietorNo
Enumeration DateMarch 15, 2008
Last NPPES UpdateMay 9, 2011
✔ NPI 1427229640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME 101499
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5955 PONCE DE LEON BLVD., Coral Gables, FL 33146

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Osvaldo Planche Utria Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Osvaldo Planche Utria reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Critical Care Medicine
5955 PONCE DE LEON BLVD
Coral Gables, FL 33146
  • Reassigned Medicare billing, Florida enrollment
  • 24 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$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
$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.

Other Providers at the Same Location NPPES 16

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

Pediatrics
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL 33146
Pediatrics (Neonatal-Perinatal Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL 33146
Pediatrics (Neonatal-Perinatal Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL 33146
Pediatrics (Neonatal-Perinatal Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL 33146
Pediatrics
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL 33146
Hospitalist
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL 33146
Nurse Practitioner (Neonatal)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL 33146
Pediatrics (Neonatal-Perinatal Medicine)
5955 PONCE DE LEON BLVD.
CORAL GABLES, FL 33146

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 Osvaldo Planche Utria's NPI number?

The NPI number for Osvaldo Planche Utria is 1427229640. It was assigned to this individual provider in the NPPES registry on March 15, 2008.

Where is Osvaldo Planche Utria located?

Osvaldo Planche Utria practices at 5955 Ponce De Leon Blvd., Coral Gables, FL 33146. The listed phone number is (305) 661-1515.

What is Osvaldo Planche Utria's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Osvaldo Planche Utria enrolled in Medicare?

Yes. Osvaldo Planche Utria is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Osvaldo Planche Utria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Osvaldo Planche Utria reassigns Medicare benefits to Emergency Pediatric Services, PA (Coral Gables, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Osvaldo Planche Utria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Osvaldo Planche Utria accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Osvaldo Planche Utria 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.

When was this NPI record last updated?

The NPPES record for Osvaldo Planche Utria was last updated on May 9, 2011. 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.