AGUSTIN JAVIER ARRIETA M.D.
NPI 1528052388
Otolaryngology in Miami, FL

Q: What is Agustin Arrieta's NPI number?

The NPI number for Agustin Arrieta is 1528052388. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is Agustin Arrieta's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Agustin Arrieta was last updated on September 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment

87.59/100

CMS Quality Rating

15955 SW 96TH ST, SUITE 303, MIAMI, FL 33196(305) 380-6773(786) 533-1680 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 20, 2022, Nov 19, 2019, Nov 4, 2019 (3 updates tracked since 2019).

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About Agustin Javier Arrieta M.d. NPPES

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

AGUSTIN JAVIER ARRIETA M.D. (NPI 1528052388) is an individual otolaryngology provider in Miami, Florida, licensed in Florida (ME92547) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2000).

NPPES Registry Identity

NPI1528052388

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameAGUSTIN JAVIER ARRIETACredential: M.D.

Location Address15955 SW 96TH ST, SUITE 303Miami, FL 33196-1271

Mailing Address15280 Nw 79th Ct Ste 200Miami Lakes, FL 33016-5873 · (305) 558-3724 · Fax (786) 907-4485

Phone(305) 380-6773

Fax(786) 533-1680

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2000

Enumeration DateSeptember 8, 2005

Last NPPES UpdateSeptember 20, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2022

✔ NPI 1528052388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in FL · ME92547

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X · License ME92547 (FL)

Also ListedOtolaryngology · Sleep MedicineTaxonomy 207YS0012X · License ME92547 (FL)

15955 SW 96TH ST, Miami, FL 33196

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Other Identifiers 1

Medicaid276031200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed 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

Agustin Javier Arrieta 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 ID7719915651

PECOS Enrollment IDI20050801000952

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 23

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.

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

456 services258 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.

453 services271 patients

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

310 services11 patients

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.

208 services163 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

151 services135 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

145 services131 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

113 services77 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.

76 services76 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

63 services50 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

39 services38 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

36 services35 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.

25 services25 patients

Biopsy or removal of nasal polyp or tissue using an endoscope 31237

A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.

22 services21 patients

Removal or destruction of growth of nose through nose 30117

This procedure involves removing or destroying a growth in the nose. It's done through the nostrils, so no external cuts are made. The growth could be a polyp, cyst, or other abnormal tissue. It helps improve breathing and reduces discomfort or other symptoms caused by the growth.

19 services14 patients

Test to assess balance during warm and cool irrigation in both ears 92537

This is a test called caloric stimulation, used to check your balance function. During this procedure, warm and cool water are gently introduced into your ears. Your eye movements are then observed, as they can indicate issues with balance or inner ear function.

19 services19 patients

Evaluation and testing for balance with recording 92540

This procedure involves a series of evaluations and tests to analyze your balance. Recordings are made to track your performance, helping identify any issues. This aids in determining the best treatment for any balance disorders you may have.

19 services19 patients

Use of electrodes during balance testing 92547

Balance testing with electrodes involves attaching small sensors to your skin. These sensors record your body's responses to various balance tests. They help in assessing your balance and coordination by measuring your body's electrical activity as you perform specific tasks.

19 services19 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services16 patients

Destruction of surface soft tissue of nasal passages 30802

This procedure involves removing or destroying soft tissue in the nasal passages. It's often performed to improve breathing, reduce snoring, or treat conditions like nasal polyps. The process is usually done under local or general anesthesia.

17 services17 patients

Test to assess electrical potentials generated in the inner ear as a result of sound stimulation 92584

This test, known as an auditory brainstem response test, checks how your inner ear responds to sound. It measures the electrical signals your ear sends to your brain when it hears a noise. It's a simple, non-invasive procedure that helps identify hearing issues.

17 services17 patients

Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report 92653

This procedure examines how your brain responds to sound, aiding in the diagnosis of nervous system disorders. It involves playing sounds and monitoring brain activity, followed by an expert interpretation and report.

17 services17 patients

Vemp testing of lower branch of inner ear nerve with interpretation and report 92517

VEMP testing is a safe procedure used to evaluate the functioning of your inner ear nerves. It involves playing sounds into your ears and recording the responses from your muscles. This helps detect any abnormalities in your inner ear. The results are then interpreted and reported by a specialist.

15 services15 patients

Dilation of nasal sinus using an endoscope 31295

Dilation of the nasal sinus using an endoscope is a procedure to improve sinus drainage. A small tube with a camera, called an endoscope, is inserted into the nose. A balloon is then inflated to widen the sinus openings. This helps to relieve sinus pressure and symptoms.

14 services14 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 33196 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.

87.59/100

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

Scored as part of a group practice

Quality

82.34

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Appropriate Treatment for Children with Upper Respiratory Infection (URI)

Percentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episode

82%38 patients

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.

92%6,955 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.

90%8,166 patients3/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

28%79 patients2/55-star benchmark: 88%

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.

99%2,406 patients4/55-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.

83%3,782 patients4/55-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…

36%3,595 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 88% · 2,171 patients

Patients tobacco: 86% · 2,171 patients

33%54 patients2/55-star benchmark: 98%

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…

70%3,782 patients3/55-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…

9%3,782 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+: 1% · 1,616 patients

2%1,616 patients4/55-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.

10%3,782 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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

1 supplier12 claims720 services$6.34 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers18 claims18 services$53.88 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers14 claims14 services$16.13 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers19 claims19 services$13.11 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers19 claims114 services$2.06 avg. paid by Medicare

Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each A7520

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$45.89 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 9

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

CHARLES J JORDAN MD

Orthopaedic Surgery

15955 SW 96TH ST, SUITE 401
MIAMI, FL 33196

Miami-Dade County (786) 467-3430

MRS. DANIELLE PECH CARSON ARNP

Nurse Practitioner (Family)

15955 SW 96TH ST, SUITE 102
MIAMI, FL 33196

Miami-Dade County (786) 467-3140

GREY DOG III, INC

Pharmacy (Community/Retail Pharmacy)

15955 SW 96TH ST, SUITE 105
MIAMI, FL 33196

Miami-Dade County (305) 752-0080

FRANCIS WAMAMERA WALWEMA

Nurse Practitioner (Adult Health)

15955 SW 96TH ST, SUITE #406A
MIAMI, FL 33196

Miami-Dade County (786) 467-3420

SUSANA PLACENCIA

Specialist/Technologist (Athletic Trainer)

15955 SW 96TH ST
MIAMI, FL 33196

Miami-Dade County (786) 467-3430

MRS. JACQUELINE DOMINGUEZ ARNP

Nurse Practitioner (Family)

15955 SW 96TH ST, SUITE 200
MIAMI, FL 33196

Miami-Dade County (786) 467-3140

JOSE ALEJANDRO PAZOS-PEREZ PA-C

Physician Assistant (Surgical)

15955 SW 96TH ST, SUITE 102
MIAMI, FL 33196

Miami-Dade County (786) 467-3435

DR. ANISH PAREKH MD

Otolaryngology

15955 SW 96TH ST, SUITE 303
MIAMI, FL 33196

Miami-Dade County (305) 380-6773

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 Agustin Arrieta's NPI number?

The NPI number for Agustin Arrieta is 1528052388. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Agustin Arrieta located?

Agustin Arrieta practices at 15955 SW 96th St Suite 303, Miami, FL 33196. The listed phone number is (305) 380-6773.

What is Agustin Arrieta's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Agustin Arrieta enrolled in Medicare?

Yes. Agustin Arrieta 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 Agustin Arrieta accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Agustin Arrieta 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 Agustin Arrieta affiliated with any hospitals?

According to CMS data, Agustin Arrieta is affiliated with Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Agustin Arrieta was last updated on September 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.