Mario Jimenez, M.D.
NPI 1225353766 · General Practice Physician · Miami, FL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mario Jimenez, M.D. is a General Practice Physician provider in Miami, FL (NPI 1225353766).
Provider details
- NPI number
- 1225353766
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
119 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 41 | $70 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 26 | $102 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 23 | $88 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 15 | $147 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 14 | $49 |
Typical Medicare-allowed amounts for these services range $49–$147 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 27 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 150 | 137 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 51 | 50 |
| Nirmatrelvir/Ritonavirbrand: Paxlovid | 37 | 37 |
| Baclofen | 36 | 27 |
| Benzonatate | 35 | 35 |
| Diclofenac Sodium | 34 | 30 |
| Rivaroxabanbrand: Xarelto | 24 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$217 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-03-27
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Frequently asked questions
- What is Mario Jimenez's NPI number?
- Mario Jimenez's National Provider Identifier (NPI) is 1225353766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mario Jimenez's specialty?
- Mario Jimenez is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Mario Jimenez located?
- Mario Jimenez's practice location on file with NPPES is 14740 Sw 26th St, Miami, FL 33185-5948.
- What is Mario Jimenez's phone number?
- The practice phone number listed in the NPPES registry for Mario Jimenez is (305) 388-1118.
- Does Mario Jimenez accept Medicare?
- Mario Jimenez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mario Jimenez's NPI active?
- Yes — Mario Jimenez's NPI (1225353766) is active in the NPPES registry as of the last update on 2024-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.