GUSTAVO FORTEZA (M.D.) – General Practice Physician, NPI 1770569196
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
358 GERIATRIC MEDICINE in FL
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Provider Addresses for GUSTAVO FORTEZA (M.D.)
441, Southwest 17th Avenue, Latin Quarter, Miami, Miami-Dade County, Florida, 33135, United States
MIAMI, FL 331353626
Phone: (305) 644-4907
Fax: (305) 644-4007
Type: Location
13400, Southwest 136th Terrace, Miami, Miami-Dade County, Florida, 33186, United States
MIAMI, FL 331868931
Phone: (305) 992-7321
Fax: (305) 644-4007
Type: Mailing
10521 SW 143RD AVE
MIAMI, FL 331863035
Phone: (305) 889-4978
Type: Mailing
10550 NW 77TH CT STE 308
HIALEAH GARDENS, FL 330162072
Phone: (305) 863-2233
Fax: (305) 504-8813
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2023-10-11 • Largest payer in this snapshot: Exact Sciences Corporation ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $27 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-09-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120917000353 | I | Geriatric Medicine | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 304 | 47 | $0 |
Insurance plans in this area (ZIP 33135)
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