1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Colon Rectal Surgery
  6. NPI Profile

DR. ANDREA MARCELA MADIEDO M.D.
NPI 1811359508
Colon & Rectal Surgery in Miami, FL

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
7765 SW 87TH AVE STE 212, MIAMI, FL 33173(305) 596-3080 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2022, Apr 7, 2021, Mar 22, 2016 (3 updates tracked since 2016).

About Dr. Andrea Marcela Madiedo M.d. NPPES

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

DR. ANDREA MARCELA MADIEDO M.D. (NPI 1811359508) is an individual colon & rectal surgery provider in Miami, Florida, licensed in Florida (ME156548) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811359508
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameDR. ANDREA MARCELA MADIEDOCredential: M.D.
Location Address7765 SW 87TH AVE STE 212Miami, FL 33173-2586
Mailing Address80 Gardner St Apt 31Allston, MA 02134-2243
Phone(305) 596-3080
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2016
Enumeration DateMarch 22, 2016
Last NPPES UpdateAugust 24, 20223 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1811359508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in FL · ME156548
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7765 SW 87TH AVE STE 212, Miami, FL 33173
Open in Google Maps ↗

Secondary Practice Locations 2

Location 188 E Newton St # C515Boston, MA 02118-2308 · Phone (617) 638-8442
Location 21200 N State St Ste A7DLos Angeles, CA 90089-1001 · Phone (323) 442-8168

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. Andrea Marcela Madiedo 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 ID2365737731
PECOS Enrollment IDI20220806000116
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 5

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
55 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
35 services35 patients
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.
31 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
29 services24 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
24 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

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
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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

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

GASTRO HEALTH, LLC
Internal Medicine (Gastroenterology)
7765 SW 87TH AVE STE 212
MIAMI, FL 33173
Miami-Dade County (305) 596-3080

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 Andrea Madiedo's NPI number?

The NPI number for Andrea Madiedo is 1811359508. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Andrea Madiedo located?

Andrea Madiedo practices at 7765 SW 87th Ave Ste 212, Miami, FL 33173. The listed phone number is (305) 596-3080.

What is Andrea Madiedo's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Andrea Madiedo enrolled in Medicare?

Yes. Andrea Madiedo 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 Andrea Madiedo accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida and 1 other insurer list Andrea Madiedo 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.

Is Andrea Madiedo affiliated with any hospitals?

According to CMS data, Andrea Madiedo is affiliated with Baptist Hospital Of Miami, South Miami Hospital and West Kendall Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Madiedo was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.