Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770134231 Individual Practitioner Female Practitioner

Samira Caraballo

Surgery - Plastic and Reconstructive Surgery • Melbourne, FL

Professional Overview & Biography Verified Profile Summary

Samira Caraballo is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Melbourne, FL. Practice services are available at 707 W EAU GALLIE BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

707 W Eau Gallie Blvd

Melbourne, FL 329355958

Telephone 3217273223
Associated Practice Facility / Clinic
🏢 Bermax Ii Llc Facility NPI 1326374901

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Melbourne, FL (258 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.9% 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 (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
42 20 $222.00 $76.28
17004 Destruction of precancer skin growth, 15 or more growths
31 17 $459.00 $142.16

Medical Specialties & State Licenses

CMS Verified: 2022-07-01
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License FL PA9112599

A surgeon who specializes in plastic and reconstructive surgery.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Jurry Om , FNP

Nurse Practitioner - Family

NPI 1053969014

Family Nurse Practitioner

Dr. Christopher Hess , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1235205352

Doctor of Medicine (M.D.)

Dr. John Varner , DDS, MD

Surgery - Plastic and Reconstructive Surgery

NPI 1346759222

Doctor of Dental Surgery, Doctor of Medicine (M.D.)

Dr. Amy Simon , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1407978703

Doctor of Medicine (M.D.)

Dr. Ross Clevens , MD

Plastic Surgery - Plastic Surgery Within the Head and Neck

NPI 1538140231

Doctor of Medicine (M.D.)

Brian Benson , PA-C

Physician Assistant - Surgical

NPI 1760523393

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 01, 2022

Registered at 707 W EAU GALLIE BLVD, MELBOURNE, FL 329355958 (Tel: 3217273223)

NPI Profile Active September 26, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2019

Registered at 8900 N KENDALL DR, MIAMI, FL 331762118 (Tel: 7865962000)

📍
Updated Business Mailing Address September 26, 2019

Registered at 1420 NE MIAMI PL APT 1611, MIAMI, FL 331321355

👤
Provider Name / Credentials Updated September 26, 2019

Recorded as SAMIRA CARABALLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2019

Surgery (License #PA9112599 in FL)

🟢
Initial NPI Registration & Enumeration September 26, 2019

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: 1770134231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2019
Last Update: July 01, 2022
Sole Proprietor: No

Mailing Address

1420 Ne Miami Pl Apt 1611

Miami, FL 331321355

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.