Luis Plasencia, M.D
NPI 1265415939 · Internal Medicine Physician · Miami, FL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luis Plasencia, M.D is a Internal Medicine Physician provider in Miami, FL (NPI 1265415939).
Provider details
- NPI number
- 1265415939
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME 45681 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
165 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 69 | $96 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 40 | $9 |
| Annual Alcohol Misuse Screening, 5 to 15 MinutesG0442 | 24 | $19 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 18 | $19 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 14 | $134 |
Typical Medicare-allowed amounts for these services range $9–$134 (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 · 128 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 327 | 77 |
| Atorvastatin Calcium | 324 | 96 |
| Levothyroxine Sodium | 321 | 82 |
| Amlodipine Besylate | 299 | 82 |
| Losartan Potassium | 280 | 82 |
| Lisinopril | 240 | 64 |
| Hydrochlorothiazide |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-27
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Frequently asked questions
- What is Luis Plasencia's NPI number?
- Luis Plasencia's National Provider Identifier (NPI) is 1265415939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luis Plasencia's specialty?
- Luis Plasencia is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Luis Plasencia located?
- Luis Plasencia's practice location on file with NPPES is 825 Sw 87th Ave # 3c, Miami, FL 33174-3253.
- What is Luis Plasencia's phone number?
- The practice phone number listed in the NPPES registry for Luis Plasencia is (305) 552-0109.
- Does Luis Plasencia accept Medicare?
- Luis Plasencia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Luis Plasencia's NPI active?
- Yes — Luis Plasencia's NPI (1265415939) 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.