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VICENTE LAGO MD PA
NPI 1619068095
Internal Medicine - Gastroenterology in Miami, FL

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
351 NW 42ND AVE, SUITE 305, MIAMI, FL 33126(305) 541-1041(305) 541-7762 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Vicente Lago Md Pa NPPES

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

VICENTE LAGO MD PA (NPI 1619068095) is an individual gastroenterology provider in Miami, Florida, licensed in Florida (ME0024854) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Steward Coral Gables Hospital, and is a graduate of Other (1973).

NPPES Registry Identity

NPI1619068095
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameVICENTE LAGOCredential: MD PA
Location Address351 NW 42ND AVE, SUITE 305Miami, FL 33126-5683
Mailing Address351 Nw 42nd Ave, Suite 305Miami, FL 33126-5683 · (305) 541-1041 · Fax (305) 541-7762
Phone(305) 541-1041
Fax(305) 541-7762
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateSeptember 28, 2006
Last NPPES UpdateDecember 9, 2010
✔ NPI 1619068095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME0024854
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.
351 NW 42ND AVE, Miami, FL 33126
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified95141FL
Medicaid037706600FL
Medicare UPIND64760FL

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vicente Lago Md Pa 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 ID4587794185
PECOS Enrollment IDI20110307000436
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.

Medicare Billing Reassignment

Medicare enrollment records show Vicente Lago reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gastro Health LLC
7.9 mi
Gastroenterology
9408 SW 87TH AVE STE 200
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 325 clinicians in this Medicare group
NPI 1487767133 (305) 913-0666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
88 services63 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
28 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 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.
20 services20 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.
18 services17 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Steward Coral Gables Hospital

Acute Care Hospitals · Coral Gables, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100183
Location3100 Douglas RdCoral Gables, FL 33134 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33126 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

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.

WILFREDO CONSTANTINO LARA MD PLLC
Ophthalmology
351 NW 42ND AVE, SUITE 302
MIAMI, FL 33126
Miami-Dade County (305) 643-8871
HEALTH PROFESSIONAL ASSOCIATES, INC.
Specialist
351 NW 42ND AVE, SUITE 503
MIAMI, FL 33126
Miami-Dade County (305) 444-1244
MR. CARLOS J JUSTIZ R.T.
Radiologic Technologist (Radiography)
351 NW 42ND AVE, SUITE # 302
MIAMI, FL 33126
Miami-Dade County (786) 239-0823
GIJE MEDICAL SUPPLY, INC
General Practice
351 NW 42ND AVE, SUITE 102
MIAMI, FL 33126
Miami-Dade County (305) 541-2699
PROFESSIONAL HEALTH ALLIANCE LLC
Clinic/Center (Primary Care)
351 NW 42ND AVE, STE 503
MIAMI, FL 33126
Miami-Dade County (786) 346-5644
JOSSUE ALFONSO DMD PA
Dentist (General Practice)
351 NW 42ND AVE, SUITE 402
MIAMI, FL 33126
Miami-Dade County (305) 642-4142
PABLO W CONCEPCION MD PA
Anesthesiology (Pain Medicine)
351 NW 42ND AVE, SUITE 404
MIAMI, FL 33126
Miami-Dade County (305) 649-3171
DR. JOSSUE ALFONSO D.M.D.
Dentist (General Practice)
351 NW 42ND AVE, SUITE 402
MIAMI, FL 33126
Miami-Dade County (305) 642-4142

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 Vicente Lago's NPI number?

The NPI number for Vicente Lago is 1619068095. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Vicente Lago located?

Vicente Lago practices at 351 NW 42nd Ave Suite 305, Miami, FL 33126. The listed phone number is (305) 541-1041.

What is Vicente Lago's specialty?

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

Is Vicente Lago enrolled in Medicare?

Yes. Vicente Lago 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.

Which organization bills Medicare for Vicente Lago's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vicente Lago reassigns Medicare benefits to Gastro Health LLC (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vicente Lago's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vicente Lago accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 6 other insurers list Vicente Lago 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 Vicente Lago affiliated with any hospitals?

According to CMS data, Vicente Lago is affiliated with Steward Coral Gables Hospital.

When was this NPI record last updated?

The NPPES record for Vicente Lago was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.