Gustavo Sepulveda, MD
NPI 1295158814 · Internal Medicine Physician · Aventura, FL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gustavo Sepulveda, MD is a Internal Medicine Physician provider in Aventura, FL (NPI 1295158814).
Provider details
- NPI number
- 1295158814
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME129952 (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
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
663 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 270 | $84 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 187 | $126 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 130 | $120 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 76 | $184 |
Typical Medicare-allowed amounts for these services range $84–$184 (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 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Apixabanbrand: Eliquis | 34 | 26 |
| Atorvastatin Calcium | 31 | 30 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 19 | 18 |
| Pantoprazole Sodium | 18 | 17 |
| Cefdinir | 16 | 16 |
| Metoprolol Succinate | 16 | 14 |
| Nifedipine |
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
Registry dates
- Enumerated
- 2014-02-03
- Last updated
- 2022-07-21
Frequently asked questions
- What is Gustavo Sepulveda's NPI number?
- Gustavo Sepulveda's National Provider Identifier (NPI) is 1295158814, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gustavo Sepulveda's specialty?
- Gustavo Sepulveda is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gustavo Sepulveda located?
- Gustavo Sepulveda's practice location on file with NPPES is 20900 Biscayne Blvd, Aventura, FL 33180-1407.
- What is Gustavo Sepulveda's phone number?
- The practice phone number listed in the NPPES registry for Gustavo Sepulveda is (305) 682-7000.
- Does Gustavo Sepulveda accept Medicare?
- Gustavo Sepulveda is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gustavo Sepulveda's NPI active?
- Yes — Gustavo Sepulveda's NPI (1295158814) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.