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Physical therapists who accept Medicare in Hialeah, FL
CMS lists 16 clinicians in this specialty with a practice address in Hialeah. Accept Medicare assignment (the Medicare-approved amount as full payment): 14. Offer telehealth: 1.
Medicare Part B covers outpatient physical therapy when it is medically necessary; there is no yearly limit, but claims above a set amount need extra documentation from the therapist.
Typical amounts Medicare approves in ZIP 33012 (2024 Medicare rates, the latest CMS has published): a new-patient visit $96, of which you pay about $24; a follow-up visit $76, of which you pay about $19 — the 20% coinsurance after the yearly Part B deductible. Clinicians who don't accept assignment can charge up to 15% more; with a Medicare Advantage plan, your plan's copay applies instead.
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Order: clinicians who accept assignment first, then by MIPS score (highest first), then by last name.
Martin Ball, PT
✓ Accepts Medicare assignmentGraduated 1992MaleRobertson Baptista, PT
✓ Accepts Medicare assignmentGraduated 1995MaleGaspara Barditch, PT
✓ Accepts Medicare assignmentGraduated 2014FemaleMinsu D. Blanca, PT
✓ Accepts Medicare assignmentGraduated 2000FemaleEvelyn Capdevila, PT
✓ Accepts Medicare assignmentGraduated 1999FemaleDrug and device company payments (2025): $26Brian Fernandez
✓ Accepts Medicare assignmentGraduated 2023MaleKarina L. Gass
✓ Accepts Medicare assignment✓ TelehealthGraduated 2016FemaleDrug and device company payments (2025): $157Sandra M. Montero, PT
✓ Accepts Medicare assignmentGraduated 1988FemalePaulo D. Pereira, PT
✓ Accepts Medicare assignmentGraduated 1991MaleMaria D. Prada, PT
✓ Accepts Medicare assignmentGraduated 1986FemaleJean P. Pradel, PT
✓ Accepts Medicare assignmentGraduated 2001MaleJessica V. Sanchez Perez, PT
✓ Accepts Medicare assignmentGraduated 2021FemaleJohn M. Stoney, PT
✓ Accepts Medicare assignmentGraduated 1982MaleMaydelis Perez Venereo
✓ Accepts Medicare assignmentGraduated 2019FemaleTamara Hidalgo, PT
May accept assignmentMIPS score (2024): 83.3/100Graduated 2016FemalePatricio Andrade, PT
May accept assignmentGraduated 1994Male
Before you book
This list comes from Medicare's enrollment records, not from reviews. Call the office to confirm the clinician is taking new Medicare patients. With Original Medicare, a clinician who accepts assignment can only charge you the Medicare deductible and coinsurance; one who doesn't may charge up to 15% more than the Medicare-approved amount. If you have a Medicare Advantage plan, check that the clinician is in the plan's network.
The MIPS final score (0–100) comes from Medicare's Merit-based Incentive Payment System for 2024. It combines quality measures, cost, improvement activities and use of certified health records, and it sets a payment adjustment. Clinicians who report as a group share the group's score. It is not a patient rating, and many clinicians have no published score.
Payments from drug and medical device companies come from CMS Open Payments (2025 general payments: meals, travel, consulting and speaking fees, gifts and similar), summed for each clinician. Receiving payments is legal and common and does not mean a clinician did anything wrong.
Other specialists in Hialeah
- Primary care doctors253
- Geriatricians3
- Nurse practitioners285
- Cardiologists29
- Dermatologists8
- Orthopedic surgeons14
- Neurologists12
- Gastroenterologists13
- Ophthalmologists11
- Optometrists7
- Podiatrists24
- Urologists13
- Pulmonologists8
- Nephrologists7
- Endocrinologists4
- Rheumatologists3
- ENT doctors4
- Oncologists3
- Psychiatrists59
- Psychologists7
- Therapists and counselors41
- Occupational therapists3
- Chiropractors3
- Gynecologists19
- General surgeons16
- Physiatrists3
- Allergists4
- Neurosurgeons5
- Infectious disease doctors4
Other care in Hialeah
Hospitals · Nursing homes · Dialysis centers · Home health agencies · Hospices
Nearby cities
- Miami Lakes11
- Doral25
- North Miami16
- Miami Gardens3
- Miami252
- North Miami Beach6
- Bay Harbor Islands3
- Miramar11
Enrollment, addresses and scores are as reported to CMS and can change. This is not a list of in-network providers for any Medicare Advantage plan, and it is not medical advice. Source: CMS Provider Data Catalog — Doctors and Clinicians National Downloadable File, Clinician MIPS Performance 2024 and Facility Affiliation Data (released Oct 2, 2026).