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DR. CARMEN ELISA LEON ASTUDILLO M.D.
NPI 1699039123
Pediatrics - Pediatric Pulmonology in Gainesville, FL

Active since June 29, 2012PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
1600 SW ARCHER RD # 100296, GAINESVILLE, FL 32610(513) 636-4315 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Carmen Elisa Leon Astudillo M.d. NPPES

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

DR. CARMEN ELISA LEON ASTUDILLO M.D. (NPI 1699039123) is an individual pediatric pulmonology provider in Gainesville, Florida, licensed in Florida (ME135299) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1699039123
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameDR. CARMEN ELISA LEON ASTUDILLOCredential: M.D.
Location Address1600 SW ARCHER RD # 100296Gainesville, FL 32610
Mailing Address1600 Sw Archer Rd # 100296Gainesville, FL 32610-3003
Phone(513) 636-4315
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 29, 2012
Last NPPES UpdateSeptember 7, 2018
✔ NPI 1699039123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in FL · ME135299
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1600 SW ARCHER RD # 100296, Gainesville, FL 32610
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Other Identifiers 1

Medicaid100114700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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. Carmen Elisa Leon Astudillo 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 ID5890043483
PECOS Enrollment IDI20180730000525
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 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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Referred Medical Equipment & Supplies CMS DME claims 3

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers36 claims36 services$912.21 avg. paid by Medicare
Cough stimulating device, alternating positive and negative airway pressure E0482
DME-Other DME · category DE000N
1 supplier12 claims12 services$285.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 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 4

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

DR. DOUGLAS J HYDER M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1600 SW ARCHER RD # 100296
GAINESVILLE, FL 32610
Alachua County (617) 636-5000
LARRY T PATTERSON M.D.
Pediatrics (Pediatric Nephrology)
1600 SW ARCHER RD # 100296
GAINESVILLE, FL 32610
Alachua County (330) 543-8950
MS. ANGELINA VALLADARES BERNIER MD
Pediatrics (Pediatric Endocrinology)
1600 SW ARCHER RD # 100296
GAINESVILLE, FL 32610
Alachua County (352) 294-5281
DR. JOON SUK CHOI DO
Pediatrics
1600 SW ARCHER RD # 100296
GAINESVILLE, FL 32610
Alachua County (270) 412-3855

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 Carmen Leon Astudillo's NPI number?

The NPI number for Carmen Leon Astudillo is 1699039123. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Carmen Leon Astudillo located?

Carmen Leon Astudillo practices at 1600 SW Archer Rd # 100296, Gainesville, FL 32610. The listed phone number is (513) 636-4315.

What is Carmen Leon Astudillo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Carmen Leon Astudillo enrolled in Medicare?

Yes. Carmen Leon Astudillo 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 Carmen Leon Astudillo accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Carmen Leon Astudillo 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 Carmen Leon Astudillo was last updated on September 7, 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.