JUAN PABLO ALDERUCCIO MD
NPI 1639502123
Internal Medicine - Hematology & Oncology in Miami, FL
About Juan Pablo Alderuccio Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUAN PABLO ALDERUCCIO MD (NPI 1639502123) is an individual hematology & oncology provider in Miami, Florida, licensed in Florida (ME131937) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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
Juan Pablo Alderuccio 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 26% | 90 |
| Cervical Cancer Screening | 14% | 81 |
| Colorectal Cancer Screening | 30% | 228 |
| Controlling High Blood Pressure | 73% | 51 |
| Diabetes: Eye Exam | 15% | 26 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 38% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 26 |
| Documentation of Current Medications in the Medical Record | 97% | 1053 |
| e-Prescribing | 100% | 69 |
| Falls: Screening for Future Fall Risk | 100% | 154 |
| HIV Screening | 91% | 192 |
| Oncology: Medical and Radiation - Pain Intensity Quantified | 97% | 260 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 40% | 246 |
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 99% | 277 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 36% | 574 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96% | 236 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% | 236 |
| Provide Patients Electronic Access to Their Health Information | 100% | 168 |
| Use of High-Risk Medications in Older Adults | 11% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 163 |
| Use of High-Risk Medications in Older Adults | 15% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 163 |
| Use of High-Risk Medications in Older Adults | 15% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 163 |
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.
MIAMI, FL 33136
MIAMI, FL 33136
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639502123, enumerated as an "individual" on August 20, 2013.
The provider is located at 1611 NW 12TH AVE MIAMI, FL 33136 and the phone number is (305) 243-6604.
Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.
The provider might be accepting Accepts: AmeriHealth Caritas Next, Florida Blue (BlueCross. Please consult your insurance carrier or call the provider to verify.
