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DR. USHA VERMA MD
NPI 1467476762
Obstetrics & Gynecology in Miami, FL

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33101(305) 243-4029(305) 243-8470 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Usha Verma Md NPPES

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

DR. USHA VERMA MD (NPI 1467476762) is an individual obstetrics & gynecology provider in Miami, Florida, licensed in Florida (ME78528) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1467476762
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. USHA VERMACredential: MD
Location Address1611 NW 12TH AVE, BOX 016960 M851Miami, FL 33101-6960
Mailing Address1611 Nw 12th Ave, Box 016960 M851Miami, FL 33101-6960 · (305) 243-4029 · Fax (305) 243-8470
Phone(305) 243-4029
Fax(305) 243-8470
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJuly 27, 2006
Last NPPES UpdateNovember 23, 2011
✔ NPI 1467476762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME78528
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1611 NW 12TH AVE, Miami, FL 33101
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified49968FL
Medicare UPINZ49968FL
Medicaid2585243-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) 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

Dr. Usha Verma 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 ID3375669765
PECOS Enrollment IDI20100922001058
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 2

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
69 services63 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
67 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33101 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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
13%61 patients
Breast Cancer Screening
56%171 patients3/55-star benchmark: 93%
Cervical Cancer Screening
79%310 patients4/55-star benchmark: 98%
Chlamydia Screening for Women
36%22 patients
Colorectal Cancer Screening
39%240 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
69%62 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
48%21 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
19%21 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%512 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
66%64 patients3/55-star benchmark: 100%
HIV Screening
34%387 patients3/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
47%420 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
37%373 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%454 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 95% · 300 patients
94%300 patients
Provide Patients Electronic Access to Their Health Information
100%664 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 7% · 68 patients
Patients totalRate: 13% · 68 patients
10%68 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. ANA ELISA CAMPO MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1611 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 355-9105
DR. CARLA S LUPI MD
Obstetrics & Gynecology (Gynecology)
1611 NW 12TH AVE
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
DR. SALIH Y YASIN MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1611 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
DR. STEVEN SEVUSH MD
Psychiatry & Neurology (Psychiatry)
1611 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 355-9105
DR. HILDA M PANTIN PHD
Psychologist (Clinical)
1611 NW 12TH AVE, M851
MIAMI, FL 33101
Miami-Dade County (305) 355-9105
DR. JANET KONEFAL PHD
Acupuncturist
1611 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 355-9105
DR. NAHIDA A CHAKHTOURA MD
Obstetrics & Gynecology
1611 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-7688
ARTHUR E BETANCOURT PSYD
Psychologist
1611 NW 12TH AVE
MIAMI, FL 33101
Miami-Dade County (305) 243-6837

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 Usha Verma's NPI number?

The NPI number for Usha Verma is 1467476762. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Usha Verma located?

Usha Verma practices at 1611 NW 12th Ave Box 016960 M851, Miami, FL 33101. The listed phone number is (305) 243-4029.

What is Usha Verma's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Usha Verma enrolled in Medicare?

Yes. Usha Verma 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 Usha Verma accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Usha Verma 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 Usha Verma was last updated on November 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.