WILFREDO C LARA MD
NPI 1942238522
Ophthalmology in Miami, FL

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
351 NW 42ND AVE, SUITE 302, MIAMI, FL 33126(305) 643-8871(305) 643-8872 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wilfredo C Lara Md NPPES

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

WILFREDO C LARA MD (NPI 1942238522) is an individual ophthalmology provider in Miami, Florida, licensed in Florida (ME86697) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2000).

NPPES Registry Identity

NPI1942238522
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameWILFREDO C LARACredential: MD
Location Address351 NW 42ND AVE, SUITE 302Miami, FL 33126-5683
Mailing AddressPo Box 144336Coral Gables, FL 33114-4336 · (305) 643-8871 · Fax (305) 643-8872
Fax(305) 643-8872
Sole ProprietorYes
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2000
Enumeration DateJune 30, 2006
Last NPPES UpdateApril 27, 2021
NPPES CertifiedApril 27, 2021
NPI 1942238522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME86697
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

351 NW 42ND AVE, Miami, FL 33126

Other Names 1

Other Name (5)Wilfredo Constantino Lara Md

Other Identifiers 10

Other5730290FL · Cigna
Other7192597FL · Aetna
Medicaid269577406FL
Medicaid269577408FL
Other37551FL · Blue Cross Blue Shield
Other7403FL · Medica Healthcare
Medicaid269577405FL
Medicaid269577402FL
Other2416244FL · United Healthcare
Medicaid269577407FL

Accepted 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

Wilfredo C Lara Md 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 ID5799756110
PECOS Enrollment IDI20040802000198
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 15

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.

Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,827 services147 patients
Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
1,800 services20 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,466 services417 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,246 services224 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
709 services240 patients
Compounded drug, not otherwise classified J7999
A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.
317 services107 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33126 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
$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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery
83%24 patients4/55-star benchmark: 99%
Diabetes: Eye Exam
100%1,260 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
100%469 patients
Glaucoma Intraocular Pressure Reduction
94%68 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 2,565 patients
Patients screened: 100% · 2,565 patients
96%137 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%46 patients
Provide Patients Electronic Access to Their Health Information
94%2,194 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 3,038 patients
Patients totalRate: 0% · 3,038 patients
0%3,038 patients5/55-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 20

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

Surgery
351 NW 42ND AVE, SUITE 103
MIAMI, FL 33126
Psychologist
351 NW 42ND AVE
MIAMI, FL 33126
Internal Medicine (Gastroenterology)
351 NW 42ND AVE, SUITE 305
MIAMI, FL 33126
Pediatrics
351 NW 42ND AVE, SUITE 101
MIAMI, FL 33126
Specialist
351 NW 42ND AVE, SUITE 101
MIAMI, FL 33126
Radiologic Technologist (Radiography)
351 NW 42ND AVE, SUITE # 302
MIAMI, FL 33126
General Practice
351 NW 42ND AVE, SUITE 403
MIAMI, FL 33126
Ophthalmology
351 NW 42ND AVE, SUITE 302
MIAMI, FL 33126

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 Wilfredo Lara's NPI number?

The NPI number for Wilfredo Lara is 1942238522. It was assigned to this individual provider in the NPPES registry on June 30, 2006. The provider is also known as Wilfredo Constantino Lara MD.

Where is Wilfredo Lara located?

Wilfredo Lara practices at 351 NW 42nd Ave Suite 302, Miami, FL 33126. The listed phone number is (305) 643-8871.

What is Wilfredo Lara's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Wilfredo Lara enrolled in Medicare?

Yes. Wilfredo Lara 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 Wilfredo Lara accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Wilfredo Lara 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 Wilfredo Lara was last updated on April 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.