Active NPI 1982679239 Individual Practitioner Male Practitioner

Dr. Carlos Alvarez , MD

Surgery • Sonora, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carlos Alvarez, MD is a certified Surgery practicing in Sonora, CA. With approximately 38 years of clinical experience since graduating from University Of South Florida College Of Medicine in 1988, Dr. Alvarez delivers high-quality medical care to the local community at 680 GUZZI LN STE 101.

Dr. Alvarez is affiliated with Surgicalists Of Ca Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, 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

680 Guzzi Ln Ste 101

Sonora, CA 953705288

Telephone 2095365755

Fax 2095365756

Medicare Profile & Education

Medical School

University Of South Florida College Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sonora, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +4.6 yrs vs City Avg

City Avg: 33.4 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

8 Specialists

Practicing in Sonora, CA (3346 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Alvarez (38 Years) 38 Yrs

Sonora Specialty Average (33.4 Years) 33.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$134.00	$64.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$167.00	$80.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$270.00	$130.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	13	$295.14	$78.48
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$112.00	$46.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$198.00	$95.49
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$367.00	$177.73
36590 Removal of peripheral venous catheter for infusion	12	12	$523.00	$183.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$72.00	$34.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$272.00	$133.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$347.00	$177.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$190.00	$82.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	22	$207.86	$119.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	23	$403.00	$173.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$184.75	$97.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	19	$145.17	$79.22
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$130.00	$47.99
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$94.61	$65.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$203.53	$143.89
47562 Removal of gallbladder using an endoscope	14	14	$1681.00	$624.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	12	$78.00	$49.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$75.58	$35.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$274.00	$129.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	48	$398.61	$199.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$274.63	$137.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	30	$148.50	$71.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	24	$169.97	$99.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	16	$203.66	$102.59
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$94.00	$67.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$190.00	$84.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	17	$124.77	$38.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$80.48	$36.69
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$129.74	$49.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$399.16	$185.55
47562 Removal of gallbladder using an endoscope	14	14	$2689.00	$665.31
49650 Repair of groin hernia using an endoscope	11	11	$1067.09	$538.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	40	$380.00	$203.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	21	$142.00	$73.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$258.00	$139.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	24	$119.00	$39.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$183.72	$85.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	22	$194.00	$105.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$401.11	$189.11
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$92.87	$69.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$158.00	$102.19
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$124.00	$50.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$70.00	$36.90
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$3676.00	$334.97

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	40	25	$135.00	$75.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	36	$362.00	$211.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	13	$185.00	$108.75
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$3501.00	$344.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	15	$113.00	$40.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$246.00	$134.84
99443 Telephone medical discussion with physician, 21-30 minutes	13	13	$130.15	$82.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$161.54	$82.68
47562 Removal of gallbladder using an endoscope	11	11	$2439.00	$687.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	11	$120.00	$41.48

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	44	34	$150.00	$75.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$275.00	$144.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$300.00	$213.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	20	$120.00	$41.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	15	$200.00	$109.64
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$110.00	$77.21
47562 Removal of gallbladder using an endoscope	15	15	$1550.00	$701.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	12	$165.00	$113.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$175.00	$115.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$255.00	$173.57
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$200.00	$107.18

Medical Specialties & State Licenses

CMS Verified: 2024-03-05

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G66787

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8135703 (NJ)

Hospital & Practice Group Affiliations

Surgicalists Of Ca Pc

155 N Jackson Ave, San Jose, CA 951161925

Phone: 4087705224

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Geoffrey Kraemer , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1922448935

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location March 05, 2024

Registered at 680 GUZZI LN STE 101, SONORA, CA 953705288 (Tel: 2095365755)

📍

Updated Business Mailing Address March 05, 2024

Registered at 680 GUZZI LN STE 101, SONORA, CA 953705288 (Tel: 2095365755)

📍

Updated Business Mailing Address July 10, 2018

Registered at 786 THIRD AVE, STE B, CHULA VISTA, CA 919105826 (Tel: 6194250797)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2018

Surgery (License #G66787 in CA)

✅

NPI Profile Active June 09, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 09, 2014

Registered at 599 W STATE ST, SUITE 302, DOYLESTOWN, PA 189012567 (Tel: 2153487195)

📍

Updated Business Mailing Address June 09, 2014

Registered at 599 W STATE ST, SUITE 302, DOYLESTOWN, PA 189012567 (Tel: 2153487195)

👤

Provider Name / Credentials Updated June 09, 2014

Recorded as CARLOS ALVAREZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2014

Surgery (License #451802 in PA)

🟢

Initial NPI Registration & Enumeration February 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982679239

Entity Type:

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

Enumeration Date: February 21, 2006

Last Update: March 05, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

680 Guzzi Ln Ste 101

Sonora, CA 953705288

Phone: 2095365755

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.