NPPES file of Aug 9, 2026

Alberto Pinzon Ardila, MD

Epilepsy Physician · Miami, FL

Alberto Pinzon Ardila, MD is an epilepsy physician with a practice address in Miami, Florida, and NPI 1154643120, issued on Feb 18, 2010. Check the license (Florida ME104275, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1154643120
Name
Alberto Pinzon Ardila
Credential
MD
Primary taxonomy
Epilepsy Physician 2084E0001X
License numbers
ME104275 FL
2025049644 MO
Self-reported in NPPES; status is on the state search
Practice location
9055 SW 87TH Ave Ste 100, Miami, FL 33176
Phone
(305) 596-2080
Enumerated
Feb 18, 2010
Record last updated
Dec 5, 2025
Fax
(305) 351-7905
Medicare enrollment
Enrolled (PECOS I20260514000184); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 9055 SW 87TH Ave Ste 100

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Valentina Aquilino, PA-CPhysician Assistant1235835166
  2. Amanda Arvidsson, PA-CPhysician Assistant1770299687
  3. Bernard Gran, M.D.Neurology Physician1285602078
  4. Allan Herskowitz, M.D.Neurology Physician1134197981
  5. Brad Herskowitz, M.D.Neurology Physician1194793950
  6. Sergio Jaramillo, MDSleep Medicine (Psychiatry & Neurology) Physician1679770879

Verify Alberto Pinzon Ardila in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license ME104275
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.8 times the Medicare Part D claims of the average epilepsy physician in 2024

2,602 Medicare Part D claims for 252 beneficiaries, against an average of 934 among the 476 providers of this specialty who prescribed in Part D. Brand-name drugs were 19% of claims.

  1. Alberto Pinzon Ardila2,602
  2. Specialty average934

Most prescribed

  1. Levetiracetam249 claims
  2. Gabapentin214 claims
  3. Epidiolex168 claims
  4. Memantine Hcl157 claims
  5. Lacosamide132 claims
  6. Clobazam98 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 76.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score62.7
  2. Costout of 100 · 30%54.2
  3. Promoting interoperabilityout of 100 · 25%96.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $25,262.54

258 payments; by number, the most common kind was food and beverage; the largest payer was Ucb, Inc. The 345 providers of this specialty with any payment received $6,278.39 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Alberto Pinzon Ardila$25,263
  2. Specialty average$6,278

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Neuroscience Consultants LLPMiami, FL
  2. Saint Lukes Physician Group IncOverland Park, KS

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Alberto Pinzon Ardila among 30 epilepsy physician records in Florida

Alberto Pinzon Ardila, MD is one of 30 epilepsy physician records with a practice address in Florida. 97% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 27% of them.

  • NPI issued2010 · 27% of these records are older, 57% newer
  • In a Medicare fileYes · 97% of these records are
  • In the CMS Doctors and Clinicians fileYes · 93% of these records are
  • Graduated2004 · median 2007 among the 28 with a school on file
  • Record last updated2025 · 0% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084E0001X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Epilepsy Physician providers in Florida

There are 30 epilepsy physician records in Florida.

The 8 epilepsy physician records with the nearest ZIP codes

  1. Miguel Melo-Bicchi, MDMiami, FL 331761487093654
  2. Carlos Millan, MDMiami, FL 331761992292072
  3. Luis Tornes, MDMiami, FL 331761225532104
  4. Gloria Diaz-Medina, M.D.Miami, FL 331551265630735
  5. Gisela Moreira Eyng, M.D.Miami, FL 331551407238421
  6. Dyanet Alvarez, MDSouth Miami, FL 331431083241020
  7. Andrew Lerman, M.D.Miami, FL 331331407173974
  8. Hassan Batayneh, M.D.Lauderdale Lakes, FL 333131730174632

Common questions

What is Alberto Pinzon Ardila, MD's NPI number?

Alberto Pinzon Ardila, MD's National Provider Identifier (NPI) is 1154643120, issued on Feb 18, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Alberto Pinzon Ardila, MD located?

The NPPES record lists a practice address at 9055 SW 87TH Ave Ste 100, Miami, FL, 33176. Phone: (305) 596-2080. Providers update this record themselves, so call before visiting.

How can I verify Alberto Pinzon Ardila, MD's license?

NPPES lists Florida license number ME104275, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Alberto Pinzon Ardila, MD prescribe under Medicare Part D?

In 2024, Alberto Pinzon Ardila, MD had 2,602 Medicare Part D claims for 252 beneficiaries; the average among epilepsy physician prescribers was 934. Part D covers Medicare prescriptions only.

What is Alberto Pinzon Ardila, MD's MIPS final score?

The 2023 MIPS final score is 76.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.