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Colorectal Surgery (Proctology)

Gustavo Plasencia, MD

Works at hospitals in Miami, FL · Florida

Summary

Dr. Gustavo Plasencia, MD is a colorectal surgeon at 1611 NW 12 Ave, Miami, FL 33136. Phone: (305) 585-1111. Accepts Medicare assignment. In 2024, Gustavo Plasencia had 136 Original Medicare patients and 294 services. NPI 1386723567. Source: CMS National Downloadable File, updated October 2, 2026; CMS Facility Affiliation Data, updated October 2, 2026; CMS Medicare Physician & Other Practitioners, data year 2024.

  • Specialty: Colorectal surgeon (Medicare lists Colorectal Surgery (Proctology))
  • Address: 1611 NW 12 Ave, Miami, FL 33136 · Directions (1 more location)
  • Phone: (305) 585‑1111
  • Medicare: Accepts Medicare assignment
  • Hospital: Jackson Health System
  • Group practice: Public Health Trust of Miami Dade County Florida
  • Medical school: graduated 1974 (52 years since medical school)
  • Gender (as listed): Male
  • Telehealth: offered

From official Medicare data

This page shows what Medicare's official clinician data says about Gustavo Plasencia, joined by NPI number (data updated October 2, 2026). It is not a recommendation or a rating. Call the office or hospital to confirm before you go.

In a medical emergency, call 911.

Quick answers

Does Gustavo Plasencia accept Medicare assignment?
Yes. Medicare's clinician data says Gustavo Plasencia accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
How many Medicare patients does Gustavo Plasencia see?
In 2024, CMS data shows 136 Original Medicare patients and 294 services for Gustavo Plasencia. This counts Original Medicare only and measures volume, not quality.
What is Gustavo Plasencia's NPI number?
1386723567. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.

Medicare activity in 2024

Official CMS public-use data for Gustavo Plasencia, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.

Original Medicare patients136
Services billed to Medicare294
Different services or procedures45
Participating Medicare providerYes
Average age of these patients73

Most frequent services

  1. New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)39 services
  2. Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)28 services
  3. Diagnostic exam of anus using an endoscope (46600)18 services
  4. Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)17 services
  5. Biopsy of large bowel using a flexible endoscope (45380)16 services

Chronic conditions among these patients

Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).

  • High cholesterol75%
  • High blood pressure71%
  • Arthritis48%
  • Ischemic heart disease41%
  • Diabetes39%
  • Cancer (breast, colorectal, lung, prostate, endometrial or leukemia/lymphoma)32%

Hospitals where Gustavo Plasencia works

Medicare's Facility Affiliation Data lists Gustavo Plasencia at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.

  • Jackson Health SystemMiami, FL · Acute Care Hospital · Medicare rating: 1 of 5 stars · Emergency services: listed by Medicare · CCN 100022

Practice locations

Addresses where Gustavo Plasencia is enrolled with Medicare (CMS data updated October 2, 2026).

Group practices

Medicare enrollment lists Gustavo Plasencia as a member of this group (CMS data updated October 2, 2026).

  • Public Health Trust of Miami Dade County Florida457 clinicians in the group

Specialties

Find other Colorectal Surgery (Proctology) doctors in Florida →

Other colorectal surgeons in Miami

Clinicians with the same Medicare primary specialty in Miami, FL — not a recommendation.

All colorectal surgeons in Miami →

Other clinicians in Public Health Trust of Miami Dade County Florida

Medicare enrollment lists these clinicians in the same group practice — not a recommendation.

Clinician information

CredentialMD
Graduation year1974 (52 years since medical school)
Gender (as listed)Male
Medicare assignmentAccepts (Medicare-approved amount as full payment)
TelehealthOffers telehealth services
NPI (National Provider Identifier)1386723567
CorrectionsReport an error or suggest an update →

Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.

Sources

  1. Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
  2. Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
  3. National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
  4. Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
  5. NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
  6. Medicare Care Compare — official Medicare tool to look up clinicians