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ALEXANDER BALAEZ PA-C
NPI 1972134286
Physician Assistant in Miami, FL

Active since January 27, 2020PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
7400 SW 87TH AVE STE 100, MIAMI, FL 33173(305) 412-5781 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2022, Feb 28, 2020, Jan 27, 2020 (3 updates tracked since 2020).

About Alexander Balaez Pa-c NPPES

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

ALEXANDER BALAEZ PA-C (NPI 1972134286) is an individual physician assistant in Miami, Florida, licensed in Florida (9112981) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972134286
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDER BALAEZCredential: PA-C
Location Address7400 SW 87TH AVE STE 100Miami, FL 33173-5458
Mailing Address3630 Sw 104th CtMiami, FL 33165-3720 · (786) 376-3621
Phone(305) 412-5781
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 27, 2020
Last NPPES UpdateJanuary 27, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2022
✔ NPI 1972134286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 9112981
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7400 SW 87TH AVE STE 100, Miami, FL 33173
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Alexander Balaez Pa-c 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 ID3274961842
PECOS Enrollment IDI20200312001813
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 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.
115 services95 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33173 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
$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.

99.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

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.

SHELBY NICOLE MAYORAL AGACNP-BC
Nurse Practitioner
7400 SW 87TH AVE STE 100
MIAMI, FL 33173
Miami-Dade County (786) 204-4201
DR. SANDRA VIVIANA CHAPARRO MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
7400 SW 87TH AVE STE 100
MIAMI, FL 33173
Miami-Dade County (786) 204-4201
CHLOE GABRIELLE ACOSTA PA-C
Physician Assistant
7400 SW 87TH AVE STE 100
MIAMI, FL 33173
Miami-Dade County (786) 204-4201
ASHLEY DELGADO
Nurse Practitioner
7400 SW 87TH AVE STE 100
MIAMI, FL 33173
Miami-Dade County (786) 204-4201
DR. SERGIU PETRU DARABANT M.D.
Internal Medicine (Cardiovascular Disease)
7400 SW 87TH AVE STE 100
MIAMI, FL 33173
Miami-Dade County (786) 204-4201
ALEXANDER TOIRAC M.D.
Internal Medicine (Cardiovascular Disease)
7400 SW 87TH AVE STE 100
MIAMI, FL 33173
Miami-Dade County (786) 204-4201
DR. ADEDAPO ADEYINKA ILUYOMADE M.D.
Internal Medicine (Cardiovascular Disease)
7400 SW 87TH AVE STE 100
MIAMI, FL 33173
Miami-Dade County (786) 204-4201
NOE EUGENIO TACORONTE PA
Physician Assistant
7400 SW 87TH AVE STE 100
MIAMI, FL 33173
Miami-Dade County (786) 204-4201

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 Alexander Balaez's NPI number?

The NPI number for Alexander Balaez is 1972134286. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Alexander Balaez located?

Alexander Balaez practices at 7400 SW 87th Ave Ste 100, Miami, FL 33173. The listed phone number is (305) 412-5781.

What is Alexander Balaez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexander Balaez enrolled in Medicare?

Yes. Alexander Balaez 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 Alexander Balaez accept?

Health plans from Oscar Health Maintenance Organization of Florida list Alexander Balaez 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 Alexander Balaez affiliated with any hospitals?

According to CMS data, Alexander Balaez is affiliated with Baptist Hospital Of Miami.

When was this NPI record last updated?

The NPPES record for Alexander Balaez was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.