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DR. CLAUDIA P. ARROYAVE O'BRIEN MD
NPI 1578656740
Ophthalmology in Miami, FL

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
18926 S DIXIE HWY, MIAMI, FL 33157(305) 278-9677(305) 278-7757 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Claudia P. Arroyave O'brien Md NPPES

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

DR. CLAUDIA P. ARROYAVE O'BRIEN MD (NPI 1578656740) is an individual ophthalmology provider in Miami, Florida, licensed in Florida (ME83616) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1578656740
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. CLAUDIA P. ARROYAVE O'BRIENCredential: MD
Location Address18926 S DIXIE HWYMiami, FL 33157-7711
Mailing Address18926 S Dixie HwyMiami, FL 33157-7711 · (305) 278-9677 · Fax (305) 278-7757
Phone(305) 278-9677
Fax(305) 278-7757
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateOctober 2, 2006
Last NPPES UpdateApril 13, 2023
NPPES CertifiedApril 13, 2023
✔ NPI 1578656740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME83616
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
18926 S DIXIE HWY, Miami, FL 33157
Open in Google Maps ↗

Other Identifiers 1

Medicaid262947000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Molina Healthcare 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. Claudia P. Arroyave O'brien 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 ID6103800842
PECOS Enrollment IDI20040617001582
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 6

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.

Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
61 services35 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.
46 services44 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.
43 services42 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
25 services25 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.
23 services23 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33157 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

Other Providers at the Same Location NPPES 4

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

JUAN P DUARTE MD, PA
General Practice
18926 S DIXIE HWY
CUTLER BAY, FL 33157
Miami-Dade County (305) 278-9677
CLAUDIA P ARROYAVE O'BRIEN MD, PA
Ophthalmology
18926 S DIXIE HWY
CUTLER BAY, FL 33157
Miami-Dade County (305) 278-9677
ARAN EYE ASSOCIATES, PA
Specialist
18926 S DIXIE HWY
CUTLER BAY, FL 33157
Miami-Dade County (305) 278-9677
DR. JUAN P DUARTE M. D. P.A.
General Practice
18926 S DIXIE HWY
MIAMI, FL 33157
Miami-Dade County (305) 278-9677

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 Claudia Arroyave O'brien's NPI number?

The NPI number for Claudia Arroyave O'brien is 1578656740. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Claudia Arroyave O'brien located?

Claudia Arroyave O'brien practices at 18926 S Dixie Hwy, Miami, FL 33157. The listed phone number is (305) 278-9677.

What is Claudia Arroyave O'brien's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Claudia Arroyave O'brien enrolled in Medicare?

Yes. Claudia Arroyave O'brien 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 Claudia Arroyave O'brien accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Claudia Arroyave O'brien 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 Claudia Arroyave O'brien affiliated with any hospitals?

According to CMS data, Claudia Arroyave O'brien is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Claudia Arroyave O'brien was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.