Gustavo Pena-Lagrave
NPI 1427216571 · Family Medicine Physician · Hialeah, FL
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gustavo Pena-Lagrave is a Family Medicine Physician provider in Hialeah, FL (NPI 1427216571).
Provider details
- NPI number
- 1427216571
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- ME141476 (FL)
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 tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
67 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 33 | $170 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 22 | $16 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 12 | $25 |
Typical Medicare-allowed amounts for these services range $16–$170 (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 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ibuprofen | 21 | 17 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 19 | 12 |
| Ciprofloxacin Hcl | 14 | 11 |
| Cyclobenzaprine Hcl | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 110 Irving St NwWashington, DC 20010-3017Phone: (202) 877-7227
Registry dates
- Enumerated
- 2008-05-27
- Last updated
- 2021-11-02
- Certified
- 2021-10-22
Frequently asked questions
- What is Gustavo Pena-Lagrave's NPI number?
- Gustavo Pena-Lagrave's National Provider Identifier (NPI) is 1427216571, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gustavo Pena-Lagrave's specialty?
- Gustavo Pena-Lagrave is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gustavo Pena-Lagrave located?
- Gustavo Pena-Lagrave's practice location on file with NPPES is 18610 Nw 87th Ave Ste 101, Hialeah, FL 33015-3519.
- What is Gustavo Pena-Lagrave's phone number?
- The practice phone number listed in the NPPES registry for Gustavo Pena-Lagrave is (305) 829-5000.
- Does Gustavo Pena-Lagrave accept Medicare?
- Gustavo Pena-Lagrave is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gustavo Pena-Lagrave's NPI active?
- Yes — Gustavo Pena-Lagrave's NPI (1427216571) is active in the NPPES registry as of the last update on 2021-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.