Active NPI 1720021850 Individual Practitioner Male Practitioner

Dr. Pedro Joaquin Carvajal , MD

Orthopaedic Surgery • Miami, FL

Professional Overview & Biography Verified Profile Summary

Dr. Pedro Carvajal, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Miami, FL. Practice services are available at 9195 SUNSET DR under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9195 Sunset Dr
Suite 100

Miami, FL 331733488

Telephone 3055983223

Fax 3055952452

Associated Practice Facility / Clinic

🏢 Pedro J Carvajal Md Pa Facility NPI 1124216759

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Miami, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.5 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

99 Specialists

Practicing in Miami, FL (1597 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.7% 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
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	576	27	$192.00	$24.58
97140 Therapy procedure using manual technique, each 15 minutes	303	27	$177.00	$22.95
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	303	27	$221.00	$35.87
99213 Established patient office or other outpatient visit, typically 15 minutes	57	41	$473.00	$99.38
97161 Evaluation of physical therapy, typically 20 minutes	30	25	$537.00	$108.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$681.00	$124.91
73564 X-ray of knee, 4 or more views	16	15	$271.00	$50.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,414	75	$192.00	$24.68
97140 Therapy procedure using manual technique, each 15 minutes	745	75	$177.00	$23.09
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	745	75	$221.00	$35.90
99213 Established patient office or other outpatient visit, typically 15 minutes	132	82	$473.00	$99.04
97161 Evaluation of physical therapy, typically 20 minutes	73	65	$537.00	$105.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$681.00	$123.49
73562 X-ray of knee, 3 views	47	32	$243.00	$42.40
73564 X-ray of knee, 4 or more views	39	39	$271.00	$48.78
20610 Aspiration and/or injection of fluid from large joint	23	20	$406.00	$73.76
72100 X-ray of lower and sacral spine, 2-3 views	20	20	$236.00	$42.35
J1030 Injection, methylprednisolone acetate, 40 mg	19	18	$40.00	$5.69
73030 X-ray of shoulder, minimum of 2 views	13	12	$206.00	$36.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,174	60	$192.32	$25.40
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	621	60	$220.37	$36.56
97140 Therapy procedure using manual technique, each 15 minutes	616	60	$175.75	$23.76
99213 Established patient office or other outpatient visit, typically 15 minutes	123	79	$471.49	$81.49
97161 Evaluation of physical therapy, typically 20 minutes	60	50	$535.20	$91.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$683.14	$117.80
73562 X-ray of knee, 3 views	40	31	$240.50	$41.60
73564 X-ray of knee, 4 or more views	34	33	$268.53	$45.01
20610 Aspiration and/or injection of fluid from large joint	29	25	$402.41	$71.29
J1030 Injection, methylprednisolone acetate, 40 mg	21	21	$40.00	$6.04
72100 X-ray of lower and sacral spine, 2-3 views	20	19	$233.60	$40.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,910	120	$193.00	$25.00
97140 Therapy procedure using manual technique, each 15 minutes	1,511	120	$173.00	$22.42
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,509	120	$219.00	$35.79
99213 Established patient office or other outpatient visit, typically 15 minutes	251	161	$467.00	$78.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	120	$687.00	$117.25
73562 X-ray of knee, 3 views	84	63	$233.00	$39.28
97161 Evaluation of physical therapy, typically 20 minutes	79	71	$531.00	$87.50
73564 X-ray of knee, 4 or more views	78	71	$259.00	$43.16
J1030 Injection, methylprednisolone acetate, 40 mg	45	42	$40.00	$6.30
20610 Aspiration and/or injection of fluid from large joint	35	31	$393.00	$66.18
97162 Evaluation for physical therapy, typically 30 minutes	35	31	$531.00	$89.08
72100 X-ray of lower and sacral spine, 2-3 views	34	33	$228.00	$38.47
73030 X-ray of shoulder, minimum of 2 views	20	20	$189.00	$31.92
27447 Replacement of knee joint, both sides of knee	17	16	$9180.00	$1624.14
72170 X-ray of pelvis, 1-2 views	16	13	$206.00	$34.89
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	13	12	$594.00	$98.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,498	121	$200.01	$24.22
97140 Therapy procedure using manual technique, each 15 minutes	1,246	121	$186.00	$21.72
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,245	121	$208.00	$35.34
99213 Established patient office or other outpatient visit, typically 15 minutes	254	155	$460.89	$75.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	137	137	$686.00	$114.68
73562 X-ray of knee, 3 views	79	65	$244.00	$36.23
73564 X-ray of knee, 4 or more views	70	64	$282.00	$40.00
J1030 Injection, methylprednisolone acetate, 40 mg	56	51	$24.00	$6.67
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	53	49	$607.25	$99.12
72100 X-ray of lower and sacral spine, 2-3 views	43	42	$236.00	$35.89
73030 X-ray of shoulder, minimum of 2 views	31	29	$204.00	$30.26
27447 Replacement of knee joint, both sides of knee	21	20	$9202.00	$1515.09
76881 Complete ultrasound of joint of arm or leg	21	21	$752.00	$103.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,470	117	$76.66	$24.37
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,241	117	$78.14	$33.44
97140 Therapy procedure using manual technique, each 15 minutes	1,235	117	$74.34	$22.17
99213 Established patient office or other outpatient visit, typically 15 minutes	272	161	$183.18	$73.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$401.29	$111.23
73564 X-ray of knee, 4 or more views	93	87	$136.47	$39.40
73562 X-ray of knee, 3 views	58	43	$115.79	$35.58
J1030 Injection, methylprednisolone acetate, 40 mg	53	53	$13.96	$5.78
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	37	37	$446.03	$95.82
72100 X-ray of lower and sacral spine, 2-3 views	28	28	$126.50	$34.92
73030 X-ray of shoulder, minimum of 2 views	20	20	$102.85	$29.08
76881 Complete ultrasound of joint of arm or leg	20	20	$120.00	$115.80
20610 Aspiration and/or injection of fluid from large joint	19	18	$334.68	$64.95
72050 X-ray of upper spine, 4 or 5 views	12	12	$81.33	$44.91
29880 Removal of both knee cartilages using an endoscope	12	11	$3036.00	$206.56
27447 Replacement of knee joint, both sides of knee	12	12	$7207.75	$1524.04

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL ME0043042

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

047174700 (FL)

Medicaid State Provider ID

255783500 (FL)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Jeffrey Loman , MD

Internal Medicine

NPI 1063478394

Doctor of Medicine (M.D.)

Dr. Rene Hartmann , MD

Colon & Rectal Surgery

NPI 1245246123

Doctor of Medicine (M.D.)

Dr. Barbara Muina , MD

Internal Medicine

NPI 1295791531

Doctor of Medicine (M.D.)

Dr. Gustavo Plasencia , MD

Colon & Rectal Surgery

NPI 1386723567

Doctor of Medicine (M.D.)

Dr. Henry Lujan , MD LLC

Colon & Rectal Surgery

NPI 1699731265

MDLLC

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 02, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 02, 2010

Registered at 9195 SUNSET DR, SUITE 100, MIAMI, FL 331733488 (Tel: 3055983223)

📍

Updated Business Mailing Address September 02, 2010

Registered at 9195 SUNSET DR, SUITE 100, MIAMI, FL 331733488 (Tel: 3055983223)

👤

Provider Name / Credentials Updated September 02, 2010

Recorded as PEDRO CARVAJAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2010

Orthopaedic Surgery (License #ME0043042 in FL)

🟢

Initial NPI Registration & Enumeration June 14, 2006

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: 1720021850

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: September 02, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

9195 Sunset Dr, Suite 100

Miami, FL 331733488

Phone: 3055983223

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.