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DR. MIKE CUSNIR M.D.
NPI 1962490631
Internal Medicine - Hematology & Oncology in Miami Beach, FL

Active since October 07, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
4306 ALTON RD, 3RD FLOOR, MIAMI BEACH, FL 33140(305) 535-3337(305) 535-3324 Get Directions Write a Review

NPPES record last updated: July 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mike Cusnir M.d. NPPES

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

DR. MIKE CUSNIR M.D. (NPI 1962490631) is an individual hematology & oncology provider in Miami Beach, Florida, licensed in Florida (ME87084) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1962490631
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MIKE CUSNIRCredential: M.D.
Location Address4306 ALTON RD, 3RD FLOORMiami Beach, FL 33140-2840
Mailing Address4306 Alton Rd, 3rd FloorMiami Beach, FL 33140-2840 · (305) 535-3337 · Fax (305) 535-3324
Phone(305) 535-3337
Fax(305) 535-3324
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 7, 2005
Last NPPES UpdateJuly 19, 2014
✔ NPI 1962490631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in FL · ME87084
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedSpecialistTaxonomy 174400000X · License ME87084 (FL)
4306 ALTON RD, Miami Beach, FL 33140
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified79060ZFL
Medicaid272151100FL
Medicare UPINH86399FL

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

Dr. Mike Cusnir 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 ID2769511120
PECOS Enrollment IDI20100522000057
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 9

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.
523 services202 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.
379 services188 patients
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.
203 services91 patients
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.
168 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services48 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.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 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
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers16 claims1,408 services$0.82 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 19

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

DR. SUMANA NARAYANAN MD
Surgery (Surgical Oncology)
4306 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2397
LILY PARSI MS
Genetic Counselor, MS
4306 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-9100
DR. HENRY WODNICKI MD
Colon & Rectal Surgery
4306 ALTON RD, COMPREHENSIVE CANCER CENTER 2ND FLOOR
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2177
GYNECOLOGIC ONCOLOGY ASSOCIATES INC
Obstetrics & Gynecology (Gynecologic Oncology)
4306 ALTON RD, THIRD FLOOR
MIAMI BEACH, FL 33140
Miami-Dade County (954) 838-2371
KIRANMAYI PALLA MUDDASANI
Colon & Rectal Surgery
4306 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2121
DR. OLEG GLIGICH M.D
Internal Medicine (Hematology & Oncology)
4306 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 535-3300
JENNY BLANCO MPH, PA-C
Physician Assistant
4306 ALTON RD, CCC 2FLR
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2397
JONATHAN GHERMEZI
Student in an Organized Health Care Education/Training Program
4306 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2121

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 Mike Cusnir's NPI number?

The NPI number for Mike Cusnir is 1962490631. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Mike Cusnir located?

Mike Cusnir practices at 4306 Alton Rd 3rd Floor, Miami Beach, FL 33140. The listed phone number is (305) 535-3337.

What is Mike Cusnir's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mike Cusnir enrolled in Medicare?

Yes. Mike Cusnir 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 Mike Cusnir accept?

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

According to CMS data, Mike Cusnir is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Mike Cusnir was last updated on July 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.