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MADELINE ETKIN MLYNCZAK M.D., M.S.
NPI 1982163861
Pediatrics in Miami, FL

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
15155 SW 97TH AVE STE 100, MIAMI, FL 33176(305) 689-7272(305) 689-7273 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 10, 2023, Aug 7, 2023, May 30, 2023 and 1 more (4 updates tracked since 2019).

About Madeline Etkin Mlynczak M.d., M.s. NPPES

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

MADELINE ETKIN MLYNCZAK M.D., M.S. (NPI 1982163861) is an individual pediatrics provider in Miami, Florida, licensed in Florida (ME163833) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Univ Of Central Florida, College Of Medicine (2019).

NPPES Registry Identity

NPI1982163861
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMADELINE ETKIN MLYNCZAKCredential: M.D., M.S.
Location Address15155 SW 97TH AVE STE 100Miami, FL 33176-0049
Mailing Address15155 Sw 97th Ave Ste 100Miami, FL 33176-0049 · (305) 689-7272
Phone(305) 689-7272
Fax(305) 689-7273
Sole ProprietorNo
Medical School CMSUniv Of Central Florida, College Of MedicineGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateNovember 10, 20234 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
✔ NPI 1982163861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME163833✔ Licensed in LA · 333698
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 333698 (LA), ME163833 (FL)
15155 SW 97TH AVE STE 100, Miami, FL 33176
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madeline Etkin Mlynczak M.d., M.s. 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 ID6608108592
PECOS Enrollment IDI20230824000842
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Madeline Mlynczak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Miami
3.9 mi
Internal Medicine
8932 SW 97TH AVE
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1912956566 (305) 243-7688
University Medical Service Association Inc
204 mi
Cardiovascular Disease
2 TAMPA GENERAL CIR, STC 5TH FLOOR
Tampa, FL 33606
  • Reassigned Medicare billing, Florida enrollment
  • 1,079 clinicians in this Medicare group
NPI 1154361053 (813) 259-0600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
50 services33 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.
14 services12 patients

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
$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

Other Providers at the Same Location NPPES 2

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

VICTOR CUETO JR. M.D.
Internal Medicine
15155 SW 97TH AVE STE 100
MIAMI, FL 33176
Miami-Dade County (305) 689-7272
DIANA LOURDES VILLAZON ARNP, FNP-BC
Nurse Practitioner (Family)
15155 SW 97TH AVE STE 100
MIAMI, FL 33176
Miami-Dade County (305) 528-5982

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 Madeline Mlynczak's NPI number?

The NPI number for Madeline Mlynczak is 1982163861. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Madeline Mlynczak located?

Madeline Mlynczak practices at 15155 SW 97th Ave Ste 100, Miami, FL 33176. The listed phone number is (305) 689-7272.

What is Madeline Mlynczak's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Madeline Mlynczak enrolled in Medicare?

Yes. Madeline Mlynczak 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.

Which organizations bill Medicare for Madeline Mlynczak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Mlynczak reassigns Medicare benefits to 2 organizations: University Of Miami (Miami, FL) and University Medical Service Association Inc (Tampa, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madeline Mlynczak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madeline Mlynczak accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Madeline Mlynczak 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 Madeline Mlynczak was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.