Active NPI 1396861712 Individual Practitioner Male Practitioner

Dr. Raul Mederos , MD

Surgery • Hialeah, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Raul Mederos, MD is a certified Surgery practicing in Hialeah, FL. With approximately 24 years of clinical experience since graduating from University Of Florida College Of Medicine in 2002, Dr. Mederos delivers high-quality medical care to the local community at 372 W 47 STREET.

Dr. Mederos is affiliated with Lamas Surgical Associates P.A. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, opening of windpipe through neck for insertion of breathing tube. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

372 W 47 Street

Hialeah, FL 330123950

Telephone 3056980112

Fax 3056980169

Associated Practice Facility / Clinic

🏢 Lamas Surgical Associates P.a. Facility NPI 1467478826

Medicare Profile & Education

Medical School

University Of Florida College Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Hialeah, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -9.1 yrs vs City Avg

City Avg: 33.1 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

21 Specialists

Practicing in Hialeah, FL (2030 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

4.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mederos (24 Years) 24 Yrs

Hialeah Specialty Average (33.1 Years) 33.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	18	$87.00	$83.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	26	$145.07	$139.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$145.74	$134.45
31600 Opening of windpipe through neck for insertion of breathing tube	16	16	$365.00	$343.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$88.00	$81.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	33	$77.50	$76.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	37	$149.68	$145.52
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	21	16	$100.14	$97.53
31600 Opening of windpipe through neck for insertion of breathing tube	12	12	$383.58	$369.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	41	$78.13	$78.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$153.86	$148.87
99213 Established patient office or other outpatient visit, typically 15 minutes	17	11	$82.75	$82.75
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	16	$100.81	$98.17
31600 Opening of windpipe through neck for insertion of breathing tube	14	14	$375.14	$372.99
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	12	$301.08	$295.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	43	$79.01	$78.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	44	$155.39	$153.06
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	30	24	$101.00	$100.62
31600 Opening of windpipe through neck for insertion of breathing tube	16	16	$378.63	$377.48
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	12	11	$306.67	$304.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	66	$154.02	$149.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	30	$80.04	$78.82
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	30	24	$99.48	$97.88
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	15	14	$307.57	$302.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	40	$85.26	$76.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$153.94	$145.65
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	22	21	$167.03	$108.77
47562 Removal of gallbladder using an endoscope	16	16	$857.10	$769.14
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$82.75	$75.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$120.94	$115.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	55	$156.85	$146.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	32	$96.00	$76.27
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	38	34	$281.31	$137.08
47562 Removal of gallbladder using an endoscope	15	15	$974.78	$798.53

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME92628

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Lamas Surgical Associates P.a.

372 W 47th St, Hialeah, FL 330123950

Phone: 3056980112

Practice Associates & Co-Workers

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

3 Associated Practitioners

Gaspar Barreto

Surgery

NPI 1437712387

Dr. Jorge Caridad Barrios , MD

Surgery

NPI 1477540144

Doctor of Medicine (M.D.)

Dr. Jose Lamas , MD

Surgery

NPI 1679502967

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 23, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 23, 2009

Registered at 372 W 47 STREET, HIALEAH, FL 330123950 (Tel: 3056980112)

📍

Updated Business Mailing Address December 23, 2009

Registered at 372 W 47 ST, HIALEAH, FL 330123950 (Tel: 3056980112)

👤

Provider Name / Credentials Updated December 23, 2009

Recorded as RAUL MEDEROS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2009

Surgery (License #ME92628 in FL)

🟢

Initial NPI Registration & Enumeration March 21, 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: 1396861712

Entity Type:

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

Enumeration Date: March 21, 2007

Last Update: December 23, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

372 W 47 St

Hialeah, FL 330123950

Phone: 3056980112

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.