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BERTHA CARIDAD FONSECA M.D.
NPI 1851592729
Psychiatry & Neurology - Neurology in Coral Gables, FL

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
76.22/100
CMS Quality Rating
747 PONCE DE LEON BLVD, SUITE 411, CORAL GABLES, FL 33134(305) 444-4175(305) 444-4176 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2021, Dec 18, 2019, Feb 24, 2016 (3 updates tracked since 2016).

About Bertha Caridad Fonseca M.d. NPPES

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

BERTHA CARIDAD FONSECA M.D. (NPI 1851592729) is an individual neurology provider in Coral Gables, Florida, licensed in Florida (ME101427) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of University Of Puerto Rico School Of Medicine (2004).

NPPES Registry Identity

NPI1851592729
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameBERTHA CARIDAD FONSECACredential: M.D.
Location Address747 PONCE DE LEON BLVD, SUITE 411Coral Gables, FL 33134-2049
Mailing Address9960 Nw 116th Way, Suite 13Medley, FL 33178-1167 · (786) 924-1311 · Fax (786) 924-1313
Phone(305) 444-4175
Fax(305) 444-4176
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2004
Enumeration DateMay 30, 2007
Last NPPES UpdateMarch 24, 20213 updates tracked since enumeration
NPPES CertifiedMarch 24, 2021
✔ NPI 1851592729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in FL · ME101427
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedSpecialistTaxonomy 174400000X · License ME101427 (FL)
747 PONCE DE LEON BLVD, Coral Gables, FL 33134
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) 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

Bertha Caridad Fonseca 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 ID1153496724
PECOS Enrollment IDI20080815000330
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 3

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 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.
232 services112 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.
28 services28 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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
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.

76.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.74
Promoting Interoperability96
Improvement Activities40
Cost54.18

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.

LUIS R GARCIA-MAYOL MD
Internal Medicine (Nephrology)
747 PONCE DE LEON BLVD, SUITE 605
CORAL GABLES, FL 33134
Miami-Dade County (305) 445-4535
FRANKLIN PIMENTEL M.D.P.A.
Internal Medicine
747 PONCE DE LEON BLVD, SUITE 408
CORAL GABLES, FL 33134
Miami-Dade County (305) 445-0700
MARTHA BOFILL & ASSOCIATES PSY CORP
Psychologist (Clinical)
747 PONCE DE LEON BLVD, SUITE 501
CORAL GABLES, FL 33134
Miami-Dade County (786) 587-2617
FRANCISCO J RICART MD PA
Psychiatry & Neurology (Psychiatry)
747 PONCE DE LEON BLVD, SUITE 600
CORAL GABLES, FL 33134
Miami-Dade County (305) 441-5880
AGUILAR & BALLEN PA
Specialist
747 PONCE DE LEON BLVD, SUITE 402
CORAL GABLES, FL 33134
Miami-Dade County (305) 774-5700
RAISA CORTES FONTANET
Dentist (General Practice)
747 PONCE DE LEON BLVD
CORAL GABLES, FL 33134
Miami-Dade County (305) 444-8591
MICHEL HERNANDEZ HERNANDEZ APRN
Nurse Practitioner
747 PONCE DE LEON BLVD
CORAL GABLES, FL 33134
Miami-Dade County (305) 529-9901
FLORIDA GERIATRICS ASSOCIATES, INC
Internal Medicine (Geriatric Medicine)
747 PONCE DE LEON BLVD, SUITE 607
CORAL GABLES, FL 33134
Miami-Dade County (305) 444-7779

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 Bertha Fonseca's NPI number?

The NPI number for Bertha Fonseca is 1851592729. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Bertha Fonseca located?

Bertha Fonseca practices at 747 Ponce De Leon Blvd Suite 411, Coral Gables, FL 33134. The listed phone number is (305) 444-4175.

What is Bertha Fonseca's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Bertha Fonseca enrolled in Medicare?

Yes. Bertha Fonseca 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 Bertha Fonseca accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Bertha Fonseca 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 Bertha Fonseca affiliated with any hospitals?

According to CMS data, Bertha Fonseca is affiliated with Baptist Hospital Of Miami.

When was this NPI record last updated?

The NPPES record for Bertha Fonseca was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.