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GWEN PEARLMAN D.O.
NPI 1871515338
Internal Medicine - Endocrinology, Diabetes & Metabolism in Boca Raton, FL

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
80.26/100
CMS Quality Rating
8903 GLADES RD, SUITE K-1A, BOCA RATON, FL 33434(561) 955-6111(561) 955-6122 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gwen Pearlman D.o. NPPES

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

GWEN PEARLMAN D.O. (NPI 1871515338) is an individual endocrinology, diabetes & metabolism provider in Boca Raton, Florida, licensed in Florida (OS9793) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1871515338
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameGWEN PEARLMANCredential: D.O.
Location Address8903 GLADES RD, SUITE K-1ABoca Raton, FL 33434-4074
Mailing Address8903 Glades Rd, Suite K-1aBoca Raton, FL 33434-4074 · (561) 955-6111 · Fax (561) 955-6122
Phone(561) 955-6111
Fax(561) 955-6122
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 24, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1871515338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in FL · OS9793
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
8903 GLADES RD, Boca Raton, FL 33434
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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

Gwen Pearlman D.o. 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 ID7719082668
PECOS Enrollment IDI20070420000402
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 6

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.
394 services187 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
159 services87 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
149 services54 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.
123 services80 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
110 services63 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.
78 services78 patients

Hospital Affiliations CMS Care Compare

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

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33434 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

80.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.88
Promoting Interoperability100
Improvement Activities40
Cost35.33

Reported Quality Measures

Breast Cancer Screening
3%401 patients1/55-star benchmark: 93%
Cervical Cancer Screening
1%383 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
40%48 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
90%355 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
18%328 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
21%328 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,312 patients5/55-star benchmark: 100%
e-Prescribing
99%806 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%524 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
37%1,077 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%987 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
53%1,304 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 31% · 696 patients
30%696 patients
Provide Patients Electronic Access to Their Health Information
97%561 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%363 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 543 patients
Patients totalRate: 7% · 543 patients
7%543 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers12 claims147 services$17.57 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers13 claims455 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
33 suppliers79 claims379 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers33 claims79 services$1.17 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers359 claims362 services$195.24 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 15

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

DR. TAMARA LEE MAULE O.D.
Optometrist (Corneal and Contact Management)
8903 GLADES RD, BAY A 1
BOCA RATON, FL 33434
Palm Beach County (561) 477-3524
MICHAEL KELSON MD
Psychiatry & Neurology (Psychiatry)
8903 GLADES RD, STE A8 #6007
BOCA RATON, FL 33434
Palm Beach County (561) 303-0487
DR. PETER S WOHLGEMUTH DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
8903 GLADES RD, SUITE D6
BOCA RATON, FL 33434
Palm Beach County (561) 483-0072
PEARLMAN ENDOCRINOLOGY LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
8903 GLADES RD, SUITE K-1A
BOCA RATON, FL 33434
Palm Beach County (561) 955-6111
TOTAL HEALTH AND REHAB
Clinic/Center (Physical Therapy)
8903 GLADES RD, SUITE A-11
BOCA RATON, FL 33434
Palm Beach County (561) 482-7575
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
8903 GLADES RD, THE SOMERSET SHOPPES STE #A14
BOCA RATON, FL 33434
Palm Beach County (561) 477-3354
AMERICAN RADIOLOGY SERVICES BANYAN CENTER, LLC
Radiology (Diagnostic Radiology)
8903 GLADES RD, SUITE B-1
BOCA RATON, FL 33434
Palm Beach County (561) 218-9011
DR. DAVID VIOREL SALAR D.M.D.
Dentist (Pediatric Dentistry)
8903 GLADES RD, SUITE D-4
BOCA RATON, FL 33434
Palm Beach County (209) 277-8822

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 Gwen Pearlman's NPI number?

The NPI number for Gwen Pearlman is 1871515338. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Gwen Pearlman located?

Gwen Pearlman practices at 8903 Glades Rd Suite K-1a, Boca Raton, FL 33434. The listed phone number is (561) 955-6111.

What is Gwen Pearlman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Gwen Pearlman enrolled in Medicare?

Yes. Gwen Pearlman 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 Gwen Pearlman accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Gwen Pearlman 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 Gwen Pearlman affiliated with any hospitals?

According to CMS data, Gwen Pearlman is affiliated with Boca Raton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Gwen Pearlman was last updated on March 7, 2023. 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.