PAUL G FISHBEIN MD
NPI 1952305963
Internal Medicine - Gastroenterology in Miami, FL

Active since June 08, 2005PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
8950 N KENDALL DR STE 306W, MIAMI, FL 33176(305) 596-9966(305) 595-0282 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2018, Sep 28, 2018 (2 updates tracked since 2018).

About Paul G Fishbein Md NPPES

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

PAUL G FISHBEIN MD (NPI 1952305963) is an individual gastroenterology provider in Miami, Florida, licensed in Florida (ME34358) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1974).

NPPES Registry Identity

NPI1952305963
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePAUL G FISHBEINCredential: MD
Location Address8950 N KENDALL DR STE 306WMiami, FL 33176-2131
Mailing Address8950 N Kendall Dr, Ste 506wMiami, FL 33176-2132 · (305) 595-2710 · Fax (305) 274-9258
Fax(305) 595-0282
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1974
Enumeration DateJune 8, 2005
Last NPPES UpdateOctober 1, 20182 updates tracked since enumeration
NPI 1952305963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · ME34358
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
8950 N KENDALL DR STE 306W, Miami, FL 33176

Other Identifiers 1

Medicaid038475500FL

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

Paul G Fishbein 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 ID1254474794
PECOS Enrollment IDI20101230000234
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 8

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.
153 services101 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.
118 services97 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
53 services52 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
39 services39 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.
33 services33 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
30 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Homestead Hospital

Acute Care Hospitals · Homestead, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100125
Location975 Baptist WayHomestead, FL 33033 · 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

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

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 33176 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.

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 10

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

Internal Medicine (Gastroenterology)
8950 N KENDALL DR STE 306W
MIAMI, FL 33176
Internal Medicine (Gastroenterology)
8950 N KENDALL DR STE 306W
MIAMI, FL 33176
Nurse Practitioner
8950 N KENDALL DR STE 306W
MIAMI, FL 33176
Internal Medicine (Gastroenterology)
8950 N KENDALL DR STE 306W
MIAMI, FL 33176
Internal Medicine (Gastroenterology)
8950 N KENDALL DR STE 306W
MIAMI, FL 33176
Nurse Practitioner
8950 N KENDALL DR STE 306W
MIAMI, FL 33176
Internal Medicine (Gastroenterology)
8950 N KENDALL DR STE 306W
MIAMI, FL 33176
Internal Medicine (Gastroenterology)
8950 N KENDALL DR STE 306W
MIAMI, FL 33176

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 Paul Fishbein's NPI number?

The NPI number for Paul Fishbein is 1952305963. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Paul Fishbein located?

Paul Fishbein practices at 8950 N Kendall Dr Ste 306W, Miami, FL 33176. The listed phone number is (305) 596-9966.

What is Paul Fishbein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Paul Fishbein enrolled in Medicare?

Yes. Paul Fishbein 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 Paul Fishbein accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Paul Fishbein 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 Paul Fishbein affiliated with any hospitals?

According to CMS data, Paul Fishbein is affiliated with Baptist Hospital Of Miami, Homestead Hospital, South Miami Hospital, Doctors Hospital and West Kendall Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Paul Fishbein was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.