Gustavo Plasencia, M.D.
Colon & Rectal Surgery Physician · Miami, FL
Gustavo Plasencia, M.D. is a colon & rectal surgery physician with a practice address in Miami, Florida, and NPI 1386723567, issued on Nov 6, 2006. Check the license (Florida ME0031262, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Gustavo Plasencia
- Credential
- M.D.
- Primary taxonomy
- Colon & Rectal Surgery Physician 208C00000X
- License number
- ME0031262 FL
Self-reported in NPPES; status is on the state search - Practice location
- 9195 Sunset Dr, Miami, FL 33173
- Phone
- (786) 466-6960
- Enumerated
- Nov 6, 2006
- Record last updated
- Oct 1, 2014 (not updated in 12 years: call before relying on the address or phone)
- Fax
- (305) 279-1994
- Medicare enrollment
- Enrolled (PECOS I20051017000390); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest colon & rectal surgery physician records → All 178 in Florida → Look up another NPI →
Also registered at 9195 Sunset Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Pedro Carvajal, M.D.Orthopaedic Surgery Physician1720021850
- Rene Hartmann, M.D.Colon & Rectal Surgery Physician1245246123
- Jeffrey Loman, M.DInternal Medicine Physician1063478394
- Henry Lujan, MD LLCColon & Rectal Surgery Physician1699731265
- Barbara Muina, M.DInternal Medicine Physician1295791531
Verify Gustavo Plasencia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license ME0031262Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
55% more Medicare Part D claims than the average colon & rectal surgery physician in 2024
297 Medicare Part D claims for 196 beneficiaries, against an average of 192 among the 1,836 providers of this specialty who prescribed in Part D.
Most prescribed
- Peg 3350-Electrolyte83 claims
- Sod Sulf-Potass Sulf-Mag Sulf52 claims
- Metronidazole39 claims
- Hydrocortisone17 claims
- Gavilyte-G12 claims
- Linzess11 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): 87.4 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $9,559.40
33 payments; by number, the most common kind was food and beverage; the largest payer was Intuitive Surgical, Inc. The 1,524 providers of this specialty with any payment received $3,468.16 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Public Health Trust OF Miami Dade County FloridaMiami, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Gustavo Plasencia among 178 colon & rectal surgery physician records in Florida
Gustavo Plasencia, M.D. is one of 178 colon & rectal surgery physician records with a practice address in Florida. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 16% of them.
- NPI issued2006 · 16% of these records are older, 59% newer
- In a Medicare fileYes · 86% of these records are
- In the CMS Doctors and Clinicians fileYes · 76% of these records are
- Graduated1974 · median 2004 among the 136 with a school on file
- Record last updated2014 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208C00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Colon & Rectal Surgery Physician providers in Florida
There are 178 colon & rectal surgery physician records in Florida.
All 178 in Florida → Every provider in Miami → Colon & Rectal Surgery Physician nationwide →
The 8 colon & rectal surgery physician records with the nearest ZIP codes
- John Christie, M.D.Miami, FL 331731114902145
- Rene Hartmann, M.D.Miami, FL 331731245246123
- Luis Hernandez, M.D.Miami, FL 331731205078649
- Eduardo Krajewski, M.D.Miami, FL 331731073618120
- Henry Lujan, MD LLCMiami, FL 331731699731265
- Andrea Madiedo, M.D.Miami, FL 331731811359508
- Gustavo Rubio, M.D.Miami, FL 331731417299702
- Marianna Zeichen, M.DMiami, FL 331731841638186
Common questions
What is Gustavo Plasencia, M.D.'s NPI number?
Gustavo Plasencia, M.D.'s National Provider Identifier (NPI) is 1386723567, issued on Nov 6, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Gustavo Plasencia, M.D. located?
The NPPES record lists a practice address at 9195 Sunset Dr, Miami, FL, 33173. Phone: (786) 466-6960. Providers update this record themselves, so call before visiting.
How can I verify Gustavo Plasencia, M.D.'s license?
NPPES lists Florida license number ME0031262, 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 Gustavo Plasencia, M.D. prescribe under Medicare Part D?
In 2024, Gustavo Plasencia, M.D. had 297 Medicare Part D claims for 196 beneficiaries; the average among colon & rectal surgery physician prescribers was 192. Part D covers Medicare prescriptions only.
What is Gustavo Plasencia, M.D.'s MIPS final score?
The 2023 MIPS final score is 87.4 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.