Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124465067 Individual Practitioner Female Practitioner

Dr. Eileen Nikko Super , MD

Surgery • Miramar, FL

Professional Overview & Biography Verified Profile Summary

Dr. Eileen Super, MD is a registered healthcare professional specializing in Surgery in Miramar, FL. Practice services are available at 3601 SW 160TH AVE under active NPI credentials.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, application of chemical to stop tissue regrowth in wound, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3601 Sw 160th Ave
Suite 250

Miramar, FL 330276308

Telephone 8778667123
Fax 8558552792
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Miramar, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
39 Specialists

Practicing in Miramar, FL (2030 Statewide)

Telehealth Adoption Rate
17.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
11042 Removal of skin and tissue, 20.0 sq cm or less
603 109 $339.66 $109.14
17250 Application of chemical to stop tissue regrowth in wound
377 58 $239.76 $50.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
375 96 $215.06 $90.67
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
338 54 $600.90 $220.77
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
306 108 $164.76 $68.93
11042 Removal of skin and tissue, 20.0 sq cm or less
143 62 $339.66 $53.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
100 72 $164.76 $68.98
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
95 48 $318.44 $133.66
11044 Removal of bone, 20.0 sq cm or less
80 11 $799.78 $322.00
17250 Application of chemical to stop tissue regrowth in wound
78 25 $239.76 $22.53
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
77 50 $215.06 $90.72
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes
74 26 $141.20 $60.53
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
67 41 $103.86 $43.59
99335 Established patient assisted living visit, typically 25 minutes
60 19 $224.16 $95.15
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
60 23 $600.90 $149.73
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
54 54 $304.74 $128.69
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
30 30 $211.56 $89.32
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
28 21 $318.44 $133.40
99306 Initial nursing facility visit, typically 45 minutes per day
27 27 $392.04 $165.54
99336 Established patient assisted living visit, typically 40 minutes
17 11 $317.98 $134.59
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
14 12 $103.86 $43.66
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
12 12 $304.74 $128.18
99325 New patient assisted living visit, typically 30 minutes
12 12 $185.28 $79.16

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 74602

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.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License GA 74602

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Georgia Composite Medical Board
74602 (GA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Hayriye Gok , MD

Family Medicine

NPI 1003078684

Doctor of Medicine (M.D.)

Dr. Toan Le , MD

Family Medicine

NPI 1003085390

Doctor of Medicine (M.D.)

NPI 1003808734

Doctor of Medicine (M.D.)

Dr. Gustavo Camarano , MD

Internal Medicine - Cardiovascular Disease

NPI 1003860115

Doctor of Medicine (M.D.)

NPI 1023050754

Doctor of Osteopathic Medicine (D.O.)

NPI 1023078870

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 August 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2016

Registered at 3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 330276308 (Tel: 8778667123)

📍
Updated Business Mailing Address August 26, 2016

Registered at 936 BROAD ST, UNIT 303, AUGUSTA, GA 309018200 (Tel: 8019161782)

👤
Provider Name / Credentials Updated August 26, 2016

Recorded as EILEEN SUPER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2016

Family Medicine (License #74602 in GA)

🟢
Initial NPI Registration & Enumeration June 02, 2013

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: 1124465067
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2013
Last Update: August 26, 2016
Sole Proprietor: No

Mailing Address

936 Broad St, Unit 303

Augusta, GA 309018200

Phone: 8019161782

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.