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TOMAS A. RAMIREZ ARNP
NPI 1942612767
Nurse Practitioner - Family in Miami, FL

Active since May 28, 2014PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
20001 SW 127TH AVE, MIAMI, FL 33177(305) 406-2069(786) 577-4381 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tomas A. Ramirez Arnp NPPES

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

TOMAS A. RAMIREZ ARNP (NPI 1942612767) is an individual family provider in Miami, Florida, licensed in Florida (ARNP9294362) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1942612767
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTOMAS A. RAMIREZCredential: ARNP
Location Address20001 SW 127TH AVEMiami, FL 33177-5118
Mailing Address6100 Blue Lagoon Dr, Suite 365Miami, FL 33126-2079 · (786) 322-7333
Phone(305) 406-2069
Fax(786) 577-4381
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 28, 2014
Last NPPES UpdateMarch 9, 2021
NPPES CertifiedJanuary 22, 2021
✔ NPI 1942612767 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 · ARNP9294362
20001 SW 127TH AVE, Miami, FL 33177
Open in Google Maps ↗

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

Tomas A. Ramirez 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 ID42512154
PECOS Enrollment IDI20160106002331
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.
167 services107 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33177 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
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Reported Quality Measures

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.
3%62 patients
Breast Cancer Screening
69%166 patients3/55-star benchmark: 93%
Cervical Cancer Screening
41%409 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
53%376 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
68%183 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
36%110 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
31%110 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,355 patients5/55-star benchmark: 100%
e-Prescribing
100%474 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%103 patients5/55-star benchmark: 100%
HIV Screening
48%930 patients4/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
76%989 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
97%821 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
48%1,037 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 98% · 280 patients
96%280 patients
Provide Patients Electronic Access to Their Health Information
100%434 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 13% · 109 patients
Patients totalRate: 25% · 109 patients
19%109 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 4

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

DR. JESUS G NOGUER MD
General Practice
20001 SW 127TH AVE
MIAMI, FL 33177
Miami-Dade County (305) 406-2069
YORYANA VAQUER VILLAZON NP
Nurse Practitioner (Family)
20001 SW 127TH AVE
MIAMI, FL 33177
Miami-Dade County (305) 405-2069
JUAN ANTONIO CRUZ M.D.
Internal Medicine
20001 SW 127TH AVE
MIAMI, FL 33177
Miami-Dade County (305) 406-2069
LUIS RAMIREZ APRN
Nurse Practitioner (Family)
20001 SW 127TH AVE
MIAMI, FL 33177
Miami-Dade County (305) 406-2069

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 Tomas Ramirez's NPI number?

The NPI number for Tomas Ramirez is 1942612767. It was assigned to this individual provider in the NPPES registry on May 28, 2014.

Where is Tomas Ramirez located?

Tomas Ramirez practices at 20001 SW 127th Ave, Miami, FL 33177. The listed phone number is (305) 406-2069.

What is Tomas Ramirez's specialty?

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

Is Tomas Ramirez enrolled in Medicare?

Yes. Tomas Ramirez 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 Tomas Ramirez accept?

Health plans from AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Tomas Ramirez 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 Tomas Ramirez was last updated on March 9, 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.