Milagro Heredia, MD
NPI 1265091136 · General Practice Physician · Haines City, FL
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Milagro Heredia, MD is a General Practice Physician provider in Haines City, FL (NPI 1265091136).
Provider details
- NPI number
- 1265091136
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- ACN1447 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
99 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 | 43 | $88 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 25 | $124 |
| Office Or Other Outpatient Visit for the Evaluation and Management of Established Patient That May Not Require Presence of Healthcare Professional99211 | 16 | $22 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 15 | $8 |
Typical Medicare-allowed amounts for these services range $8–$124 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 58 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 125 | 73 |
| Lisinopril | 111 | 63 |
| Levothyroxine Sodium | 102 | 57 |
| Rosuvastatin Calcium | 84 | 42 |
| Losartan Potassium | 82 | 46 |
| Amlodipine Besylate | 79 | 41 |
| Metformin Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$39 across 2 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
Additional practice locations (1)
- 175 Patterson RdHaines City, FL 33844-7803Phone: (863) 358-4849Fax: (863) 358-4580
Registry dates
- Enumerated
- 2019-06-13
- Last updated
- 2024-05-17
- Certified
- 2024-05-17
Frequently asked questions
- What is Milagro Heredia's NPI number?
- Milagro Heredia's National Provider Identifier (NPI) is 1265091136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Milagro Heredia's specialty?
- Milagro Heredia is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Milagro Heredia located?
- Milagro Heredia's practice location on file with NPPES is 608 Ingraham Ave, Haines City, FL 33844-4330.
- What is Milagro Heredia's phone number?
- The practice phone number listed in the NPPES registry for Milagro Heredia is (863) 422-9562.
- Does Milagro Heredia accept Medicare?
- Milagro Heredia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Milagro Heredia's NPI active?
- Yes — Milagro Heredia's NPI (1265091136) is active in the NPPES registry as of the last update on 2024-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.