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EDUARDO A KOFMAN M.D.
NPI 1487609855
Internal Medicine - Gastroenterology in North Miami, FL

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
12550 BISCAYNE BLVD, SUITE 600, NORTH MIAMI, FL 33181(305) 892-3101(305) 892-3103 Get Directions Write a Review

NPPES record last updated: September 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eduardo A Kofman M.d. NPPES

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

EDUARDO A KOFMAN M.D. (NPI 1487609855) is an individual gastroenterology provider in North Miami, Florida, licensed in Florida (ME84340) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Aventura Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1487609855
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameEDUARDO A KOFMANCredential: M.D.
Location Address12550 BISCAYNE BLVD, SUITE 600North Miami, FL 33181-2541
Mailing Address12550 Biscayne Blvd, Suite 600North Miami, FL 33181-2541 · (305) 892-3101 · Fax (305) 892-3103
Phone(305) 892-3101
Fax(305) 892-3103
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateMay 24, 2006
Last NPPES UpdateSeptember 20, 2008
✔ NPI 1487609855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in FL · ME84340✔ Licensed in TX · K4109
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
12550 BISCAYNE BLVD, North Miami, FL 33181
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Other Identifiers 3

Medicare UPING59126TX
Medicare PIN0043CDTX
Medicare PINAL422ZFL

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

Eduardo A Kofman 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 ID2860476280
PECOS Enrollment IDI20080812000109
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 4

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 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.
21 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 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.
12 services12 patients
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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100131
Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33181 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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
78%751 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
82%675 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
57%1,345 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%2,203 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
77%2,100 patients1/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
80%450 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
76%1,735 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%1,870 patients5/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
89%1,916 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
39%215 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%1,870 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%1,870 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 450 patients
0%450 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
3%1,870 patients
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.

AMERICAN PHYSICIANS AT HOME INC.
Health Maintenance Organization
12550 BISCAYNE BLVD, SUITE 205
NORTH MIAMI, FL 33181
Miami-Dade County (305) 456-9389
STEVEN STRUMWASSER, PA
Psychologist (Clinical)
12550 BISCAYNE BLVD, SUITE 408
NORTH MIAMI, FL 33181
Miami-Dade County (305) 992-8893
MR. KALE BAKER LSCW
Social Worker (Clinical)
12550 BISCAYNE BLVD, SUITE 934
NORTH MIAMI, FL 33181
Miami-Dade County (305) 892-4753
MS. YADIRA TAPIA-STRIGLE
Counselor (Mental Health)
12550 BISCAYNE BLVD, SUITE 934
NORTH MIAMI, FL 33181
Miami-Dade County (305) 892-4753
SOUTH FLORIDA DIAGNOSTIC GROUP, LLC
Radiology (Diagnostic Radiology)
12550 BISCAYNE BLVD
NORTH MIAMI, FL 33181
Miami-Dade County (305) 389-9040
DR. JOAN ADOLFO ALVAREZ M.D.
Obstetrics & Gynecology
12550 BISCAYNE BLVD, SUITE 604
NORTH MIAMI, FL 33181
Miami-Dade County (305) 981-0231
HAPPY MINDS BEHAVIOR SERVICES LLC
Behavior Analyst
12550 BISCAYNE BLVD
NORTH MIAMI, FL 33181
Miami-Dade County (786) 212-4830
JENNIFER LECKY
Physician Assistant (Medical)
12550 BISCAYNE BLVD
NORTH MIAMI, FL 33181
Miami-Dade County (305) 945-2411

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 Eduardo Kofman's NPI number?

The NPI number for Eduardo Kofman is 1487609855. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Eduardo Kofman located?

Eduardo Kofman practices at 12550 Biscayne Blvd Suite 600, North Miami, FL 33181. The listed phone number is (305) 892-3101.

What is Eduardo Kofman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Eduardo Kofman enrolled in Medicare?

Yes. Eduardo Kofman 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 Eduardo Kofman accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Eduardo Kofman 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 Eduardo Kofman affiliated with any hospitals?

According to CMS data, Eduardo Kofman is affiliated with Hca Florida Aventura Hospital.

When was this NPI record last updated?

The NPPES record for Eduardo Kofman was last updated on September 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.