JORGE LUIS DE LA PEDRAJA M.D.
NPI 1508925496
Plastic Surgery in Coral Gables, FL

Q: What is Jorge De La Pedraja's NPI number?

The NPI number for Jorge De La Pedraja is 1508925496. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Q: What is Jorge De La Pedraja's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment

167 MAJORCA AVE, CORAL GABLES, FL 33134(305) 441-9144(305) 448-8994 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jorge Luis De La Pedraja M.d. NPPES

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

JORGE LUIS DE LA PEDRAJA M.D. (NPI 1508925496) is an individual plastic surgery provider in Coral Gables, Florida, licensed in Florida (ME77828) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1993).

NPPES Registry Identity

NPI1508925496

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameJORGE LUIS DE LA PEDRAJACredential: M.D.

Location Address167 MAJORCA AVECoral Gables, FL 33134-4553

Mailing Address167 Majorca AveCoral Gables, FL 33134-4553 · (305) 441-9144 · Fax (305) 448-8994

Phone(305) 441-9144

Fax(305) 448-8994

Sole ProprietorYes

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1993

Enumeration DateDecember 6, 2006

Last NPPES UpdateAugust 19, 2021

NPPES CertifiedAugust 19, 2021

✔ NPI 1508925496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in FL · ME77828

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

167 MAJORCA AVE, Coral Gables, FL 33134

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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

Jorge Luis De La Pedraja 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 ID7315912219

PECOS Enrollment IDI20040901001136

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

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.

16 services11 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 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.

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 Jorge De La Pedraja's NPI number?

The NPI number for Jorge De La Pedraja is 1508925496. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Jorge De La Pedraja located?

Jorge De La Pedraja practices at 167 Majorca Ave, Coral Gables, FL 33134. The listed phone number is (305) 441-9144.

What is Jorge De La Pedraja's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Jorge De La Pedraja enrolled in Medicare?

Yes. Jorge De La Pedraja 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 Jorge De La Pedraja accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Jorge De La Pedraja 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 Jorge De La Pedraja affiliated with any hospitals?

According to CMS data, Jorge De La Pedraja is affiliated with Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Jorge De La Pedraja was last updated on August 19, 2021. 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.