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: July 19, 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
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

Other Identifiers 3

Medicare ID-Type Unspecified95141FL
Medicaid037706600FL
Medicare UPIND64760FL

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

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.

Areas of Expertise CMS Part B claims 10

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, 30-39 minutes 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.
150 services93 patients
Follow-up hospital inpatient care per day, typically 25 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.
46 services22 patients
Initial hospital inpatient care per day, typically 50 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.
32 services31 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.
26 services26 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.
19 services18 patients
New patient office or other outpatient visit, 45-59 minutes 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.
16 services16 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.

Surgery
351 NW 42ND AVE, SUITE 103
MIAMI, FL 33126
Psychologist
351 NW 42ND AVE
MIAMI, FL 33126
Pediatrics
351 NW 42ND AVE, SUITE 101
MIAMI, FL 33126
Specialist
351 NW 42ND AVE, SUITE 101
MIAMI, FL 33126
Radiologic Technologist (Radiography)
351 NW 42ND AVE, SUITE # 302
MIAMI, FL 33126
General Practice
351 NW 42ND AVE, SUITE 403
MIAMI, FL 33126
Ophthalmology
351 NW 42ND AVE, SUITE 302
MIAMI, FL 33126
General Practice
351 NW 42ND AVE, SUITE 102
MIAMI, FL 33126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619068095, enumerated as an "individual" on September 28, 2006.

The provider is located at 351 NW 42ND AVE SUITE 305 MIAMI, FL 33126 and the phone number is (305) 541-1041.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.

Vicente Lago is affiliated with: STEWARD CORAL GABLES HOSPITAL.