MRS. RUTH HALPHEN-GARCIA ARNP
NPI 1811177801
Nurse Practitioner - Family in Miami, FL

Q: What is Ruth Halphen-garcia's NPI number?

The NPI number for Ruth Halphen-garcia is 1811177801. It was assigned to this individual provider in the NPPES registry on November 7, 2007.

Q: What is Ruth Halphen-garcia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 07, 2007PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

11690 SW 72ND ST, MIAMI, FL 33173(305) 507-5573 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Mrs. Ruth Halphen-garcia Arnp NPPES

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

MRS. RUTH HALPHEN-GARCIA ARNP (NPI 1811177801) is an individual family provider in Miami, Florida, licensed in Florida (ARNP9181668) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1811177801

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. RUTH HALPHEN-GARCIACredential: ARNP

Location Address11690 SW 72ND STMiami, FL 33173-2691

Mailing Address11690 Sw 72nd StMiami, FL 33173-2691 · (305) 507-5573

Phone(305) 507-5573

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateNovember 7, 2007

Last NPPES UpdateMarch 20, 2017

✔ NPI 1811177801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP9181668

11690 SW 72ND ST, Miami, FL 33173

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Other Identifiers 1

Medicare PINAH253ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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

Mrs. Ruth Halphen-garcia Arnp 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 ID143301093

PECOS Enrollment IDI20080116000616

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

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33173 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.

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.

81.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Reported Quality Measures

Appropriate Testing for Pharyngitis

99%102 patients4/55-star benchmark: 100%

Appropriate Treatment for Upper Respiratory Infection (URI)

98%223 patients4/55-star benchmark: 100%

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

0%100 patients

Breast Cancer Screening

29%187 patients2/55-star benchmark: 93%

Cervical Cancer Screening

19%550 patients1/55-star benchmark: 98%

Chlamydia Screening for Women

33%27 patients

Colorectal Cancer Screening

29%385 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

70%106 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

35%46 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

30%46 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

95%1,172 patients4/55-star benchmark: 100%

e-Prescribing

99%352 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

75%63 patients4/55-star benchmark: 100%

HIV Screening

19%908 patients2/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

39%884 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

21%899 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

35%931 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 68% · 125 patients

68%125 patients

Provide Patients Electronic Access to Their Health Information

97%425 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 3% · 76 patients

Patients totalRate: 9% · 76 patients

11%76 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

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