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DR. WAYNE NICHOLAS EVANCHO DO
NPI 1619069804
Family Medicine in North Miami Beach, FL

Active since September 28, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2163334 · Waiver
1380 NE MIAMI GARDENS DRIVE, SUITE 285, NORTH MIAMI BEACH, FL 33179(305) 944-8777(305) 944-3006 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wayne Nicholas Evancho Do NPPES

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

DR. WAYNE NICHOLAS EVANCHO DO (NPI 1619069804) is an individual family medicine provider in North Miami Beach, Florida, licensed in Florida (OS5535) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 11, 2027, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1987).

NPPES Registry Identity

NPI1619069804
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WAYNE NICHOLAS EVANCHOCredential: DO
Location Address1380 NE MIAMI GARDENS DRIVE, SUITE 285North Miami Beach, FL 33179
Mailing Address1380 Ne Miami Gardens Drive, Suite 285North Miami Beach, FL 33179 · (305) 944-8777 · Fax (305) 944-3006
Phone(305) 944-8777
Fax(305) 944-3006
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1987
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619069804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS5535
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1380 NE MIAMI GARDENS DRIVE, North Miami Beach, FL 33179
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Other Identifiers 5

Medicaid06365500FL
Other1214206FL · Cigna
Medicare ID-Type Unspecified80166AFL
Other296403FL · Av Med
Medicare UPINE70641

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

Dr. Wayne Nicholas Evancho Do 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 ID1850451923
PECOS Enrollment IDI20081119000284
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2163334

Wayne N Evancho, Do, PA · North Miami Beach, FL
Active · expires Mar 11, 2027
CLIA Number10D2163334
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorTaly V. Drai
Laboratory Phone(305) 944-8777
Laboratory LocationWayne N Evancho, Do, PA1380 NE Miami Gardens Dr Ste 285, North Miami Beach, FL 33179
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
881 services113 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
851 services143 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
234 services38 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
227 services78 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
144 services55 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
132 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33179 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 28

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers43 claims175 services$6.82 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers31 claims31 services$2.86 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
2 suppliers14 claims14 services$1.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers41 claims85 services$1.18 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier17 claims34 services$55.69 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers18 claims96 services$24.47 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 5

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

JEM HOME HEALTH CARE LLC
Social Worker
1380 NE MIAMI GARDENS DRIVE, SUITE 205
MIAMI, FL 33179
Miami-Dade County (305) 949-8380
DR. NEIL FURMAN D.O
Internal Medicine
1380 NE MIAMI GARDENS DRIVE, SUITE 225
NORTH MIAMI BEACH, FL 33179
Miami-Dade County (305) 651-6891
JEROME S REICH M.D.
Internal Medicine
1380 NE MIAMI GARDENS DRIVE, #225
NORTH MIAMI BEACH, FL 33179
Miami-Dade County (305) 652-9652
SALAH AMER MD
Internal Medicine (Cardiovascular Disease)
1380 NE MIAMI GARDENS DRIVE, STE 140
NORTH MIAMI BCH, FL 33179
Miami-Dade County (305) 948-3990
MRS. DIANA PATRICIA MALCA-CHERN LCSW
Social Worker (Clinical)
1380 NE MIAMI GARDENS DRIVE, SUITE 271
NMB, FL 33179
Miami-Dade County (305) 788-7738

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 Wayne Evancho's NPI number?

The NPI number for Wayne Evancho is 1619069804. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Wayne Evancho located?

Wayne Evancho practices at 1380 NE Miami Gardens Drive Suite 285, North Miami Beach, FL 33179. The listed phone number is (305) 944-8777.

What is Wayne Evancho's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wayne Evancho enrolled in Medicare?

Yes. Wayne Evancho 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.

Does Wayne Evancho hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2163334) is associated with this NPI, valid through March 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wayne Evancho 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 2 other insurers list Wayne Evancho 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.

When was this NPI record last updated?

The NPPES record for Wayne Evancho was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.