EDUARDO PARRA-DAVILA M.D.
NPI 1609864925
Colon & Rectal Surgery in West Palm Beach, FL

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
91.97/100
CMS Quality Rating
1309 N. FLAGLER DRIVE, WEST PALM BEACH, FL 33401(561) 882-4541(561) 650-6093 Get Directions Write a Review

NPPES record last updated: November 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eduardo Parra-davila M.d. NPPES

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

EDUARDO PARRA-DAVILA M.D. (NPI 1609864925) is an individual colon & rectal surgery provider in West Palm Beach, Florida, licensed in Florida (ME73141) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Palm Beach Gardens Medical Center, and maintains a secondary practice location in Celebration.

NPPES Registry Identity

NPI1609864925
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameEDUARDO PARRA-DAVILACredential: M.D.
Location Address1309 N. FLAGLER DRIVEWest Palm Beach, FL 33401-5435
Mailing Address410 Celebration Pl Ste 302Celebration, FL 34747-5435 · (407) 303-3824 · Fax (407) 303-3825
Fax(561) 650-6093
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateOctober 11, 2005
Last NPPES UpdateNovember 27, 2018
NPI 1609864925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in FL · ME73141
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1309 N. FLAGLER DRIVE, West Palm Beach, FL 33401

Secondary Practice Location 1

Location 1410 Celebration Pl Ste 302Celebration, FL 34747-5435 · Phone (407) 303-3824 · Fax (407) 303-3825

Other Identifiers 1

Medicaid269027600FL

Accepted 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 Parra-davila 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 ID8527967967
PECOS Enrollment IDI20040106000085
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
297 services97 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.
195 services123 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.
117 services117 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
95 services88 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
16 services16 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Palm Beach Gardens Medical Center

Acute Care Hospitals · Palm Beach Gardens, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100176
Location3360 Burns RdPalm Beach Gardens, FL 33410 · Palm Beach County
Emergency services

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100287
Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33401 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

91.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.23
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
36%298 patients2/55-star benchmark: 93%
Cervical Cancer Screening
37%392 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
26%160 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
37%711 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
64%244 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%86 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
98%86 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
69%2,533 patients3/55-star benchmark: 100%
e-Prescribing
98%298 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
90%1,257 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%1,461 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 1,125 patients
Patients screened: 87% · 1,125 patients
93%85 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
67%825 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%268 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 511 patients
Patients totalRate: 1% · 513 patients
1%513 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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
4 suppliers16 claims26 services$3.51 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers11 claims180 services$4.91 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
5 suppliers18 claims560 services$5.65 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
3 suppliers11 claims1,020 services$1.66 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
4 suppliers15 claims380 services$3.44 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
5 suppliers19 claims1,210 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Radiology (Diagnostic Radiology)
1309 N. FLAGLER DRIVE
WEST PALM BEACH, FL 33401

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 Parra-davila's NPI number?

The NPI number for Eduardo Parra-davila is 1609864925. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Eduardo Parra-davila located?

Eduardo Parra-davila practices at 1309 N. Flagler Drive, West Palm Beach, FL 33401. The listed phone number is (561) 882-4541.

What is Eduardo Parra-davila's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Eduardo Parra-davila enrolled in Medicare?

Yes. Eduardo Parra-davila 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 Parra-davila accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list Eduardo Parra-davila 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 Parra-davila affiliated with any hospitals?

According to CMS data, Eduardo Parra-davila is affiliated with Palm Beach Gardens Medical Center and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Eduardo Parra-davila was last updated on November 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.