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 patients | 136 |
|---|---|
| Services billed to Medicare | 294 |
| Different services or procedures | 45 |
| Participating Medicare provider | Yes |
| Average age of these patients | 73 |
Most frequent services
- New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)39 services
- Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)28 services
- Diagnostic exam of anus using an endoscope (46600)18 services
- Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)17 services
- 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).
- 1611 NW 12 AveMiami, FL 33136 (305) 585‑1111
- 9333 SW 152nd StPalmetto Bay, FL 33157 (305) 251‑2500
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.
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
| Credential | MD |
|---|---|
| Graduation year | 1974 (52 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| Telehealth | Offers telehealth services |
| NPI (National Provider Identifier) | 1386723567 |
| Corrections | Report 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
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians