Active NPI 1578777140 Individual Practitioner Male Practitioner

Dr. Ernesto J. Lamadrid , MD

General Practice • Gainesville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Ernesto Lamadrid, MD is a certified General Practice practicing in Gainesville, FL. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Lamadrid delivers high-quality medical care to the local community at 1026 SW 2ND AVE.

Dr. Lamadrid maintains professional affiliations with Florida Department Of Health, Lake Area Physical Therapy Inc. and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1026 Sw 2nd Ave
Suite C

Gainesville, FL 326016134

Telephone 3525050255

Fax 3525050997

Associated Practice Facility / Clinic

🏢 Innocent Odocha, M.d.,p.a. Facility NPI 1477719763

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Gainesville, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +5.5 yrs vs City Avg

City Avg: 28.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

39 Specialists

Practicing in Gainesville, FL (2490 Statewide)

Telehealth Adoption Rate

5.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lamadrid (34 Years) 34 Yrs

Gainesville Specialty Average (28.5 Years) 28.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	67	$145.10	$85.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	36	$208.32	$120.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	27	$94.96	$53.94
99443 Telephone medical discussion with physician, 21-30 minutes	16	14	$145.82	$98.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	95	$188.70	$114.98
99213 Established patient office or other outpatient visit, typically 15 minutes	129	74	$142.30	$83.20
99443 Telephone medical discussion with physician, 21-30 minutes	35	27	$143.10	$101.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$253.07	$131.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$94.43	$53.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$289.03	$160.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	110	$180.78	$91.91
99213 Established patient office or other outpatient visit, typically 15 minutes	95	57	$137.20	$66.88
99443 Telephone medical discussion with physician, 21-30 minutes	81	51	$119.51	$80.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$256.46	$114.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	246	120	$142.93	$73.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	209	113	$181.78	$107.38
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	71	39	$90.00	$41.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$224.77	$114.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$103.92	$44.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	284	117	$144.33	$69.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	282	134	$183.97	$102.70
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	164	52	$90.00	$40.38
G0008 Administration of influenza virus vaccine	31	30	$18.25	$17.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	28	$96.49	$41.88
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$18.80	$17.82
90662 Influenza vaccine split virus, preservative free	13	12	$46.73	$45.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$295.67	$160.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$273.21	$111.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	333	137	$145.05	$66.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	258	138	$183.72	$98.14
G0008 Administration of influenza virus vaccine	26	23	$16.43	$16.10
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	14	$20.18	$18.65
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	16	11	$90.00	$38.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$110.10	$40.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$215.33	$101.16

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN101

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Public Health or Welfare

NUCC Taxonomy Code: 251K00000X

State License FL ACN101

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

274984000 (FL)

Commercial Insurance / Payer ID License Number

ACN101 (FL)

Hospital & Practice Group Affiliations

Lake Area Physical Therapy Inc.

Po Box, Melrose, FL 326661099

Florida Department Of Health

249 E Collins St, Umatilla, FL 327848383

Phone: 3524837977

Florida Department Of Health

224 Se 24th St, Gainesville, FL 326417516

Phone: 3523347900

Lake Area Physical Therapy Inc.

Po Box, Melrose, FL 326661099

Florida Department Of Health

2801 Kennedy St, Palatka, FL 321774150

Phone: 3863263200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Laura Morgan , NP-C

Nurse Practitioner - Primary Care

NPI 1487020822

Nurse Practitioner (Certified)

Kalynn Matisco , APRN

Nurse Practitioner - Acute Care

NPI 1952362212

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Public Health or Welfare (License #ACN101 in FL)

✅

NPI Profile Active January 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 18, 2013

Registered at 1026 SW 2ND AVE, SUITE C, GAINESVILLE, FL 326016134 (Tel: 3525050255)

📍

Updated Business Mailing Address January 18, 2013

Registered at 1026 SW 2ND AVE, SUITE C, GAINESVILLE, FL 326016134 (Tel: 3525050255)

👤

Provider Name / Credentials Updated January 18, 2013

Recorded as ERNESTO LAMADRID, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2013

General Practice (License #ACN101 in FL)

🟢

Initial NPI Registration & Enumeration May 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578777140

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 10, 2007

Last Update: March 07, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1026 Sw 2nd Ave, Suite C

Gainesville, FL 326016134

Phone: 3525050255

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.