Active NPI 1104853951 Individual Practitioner Male Practitioner

Dr. Carlos A. Carrillo , MD

Surgery • Sebring, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carlos Carrillo, MD is a certified Surgery practicing in Sebring, FL. With approximately 41 years of clinical experience since graduating from Emory University School Of Medicine in 1985, Dr. Carrillo delivers high-quality medical care to the local community at 4143 SUN N LAKE BLVD.

Dr. Carrillo is affiliated with Adventist Health System-Sunbelt Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of tissue from wound, 20.0 sq cm or less, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4143 Sun N Lake Blvd

Sebring, FL 338722131

Telephone 8633866480

Fax 8633866497

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sebring, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +13.7 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

13 Specialists

Practicing in Sebring, FL (2030 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carrillo (41 Years) 41 Yrs

Sebring Specialty Average (27.3 Years) 27.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	362	79	$382.00	$127.57
99213 Established patient office or other outpatient visit, typically 15 minutes	259	64	$270.00	$91.07
97597 Removal of tissue from wound, 20.0 sq cm or less	129	51	$296.00	$97.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$500.00	$167.96
11042 Removal of skin and tissue, 20.0 sq cm or less	38	26	$382.00	$125.51
97598 Removal of tissue from wound, each additional 20.0 sq cm	30	11	$135.00	$45.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$337.00	$110.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	752	138	$269.53	$88.36
97597 Removal of tissue from wound, 20.0 sq cm or less	227	85	$295.48	$96.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$336.10	$110.67
11042 Removal of skin and tissue, 20.0 sq cm or less	72	40	$380.61	$125.19
97598 Removal of tissue from wound, each additional 20.0 sq cm	50	13	$135.00	$44.04

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	118	65	$144.10	$70.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	62	$399.32	$195.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	41	$273.15	$136.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$340.00	$111.54

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	230	111	$145.06	$72.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	110	109	$403.19	$201.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	61	$274.00	$134.29
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	18	18	$1538.00	$606.80

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	174	77	$144.83	$74.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	124	121	$383.95	$208.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	29	$140.00	$109.27
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$2025.54	$738.05

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	174	68	$140.00	$72.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	77	$140.00	$107.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	119	112	$325.00	$200.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	58	58	$300.00	$205.97
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$3100.00	$749.08

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	194	78	$140.00	$70.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	126	114	$325.00	$196.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	64	$122.91	$103.43
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	54	54	$300.00	$200.87
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$3100.00	$720.58

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	254	90	$140.73	$69.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	152	146	$325.00	$195.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	67	$120.00	$102.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	54	54	$300.00	$199.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$180.00	$138.94
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	18	18	$3100.00	$725.78

Medical Specialties & State Licenses

CMS Verified: 2022-11-04

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME66715

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

376142800 (FL)

Commercial Insurance / Payer ID Medicare Hf

PENDING (FL)

Hospital & Practice Group Affiliations

Adventist Health System-Sunbelt Inc

4143 Sun N Lake Blvd, Sebring, FL 338722131

Phone: 8633866481

Adventist Health System-Sunbelt Inc

1210 Us Hwy 27 N, Lake Placid, FL 338527948

Phone: 8634653777

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Reynaldo Descalso , MD

Surgery

NPI 1700992229

Doctor of Medicine (M.D.)

Alyssa Miller , APRN

Nurse Practitioner

NPI 1730639063

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location November 04, 2022

Registered at 4143 SUN N LAKE BLVD, SEBRING, FL 338722131 (Tel: 8633866480)

📍

Updated Business Mailing Address November 04, 2022

Registered at 4143 SUN N LAKE BLVD, SEBRING, FL 338722131 (Tel: 8633866480)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2022

Surgery (License #ME66715 in FL)

📍

Updated Practice Location June 02, 2020

Registered at 701 W COCOA BEACH CSWY, COCOA BEACH, FL 329313585 (Tel: 3214348777)

📍

Updated Business Mailing Address June 02, 2020

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 3214348777)

📍

Updated Practice Location July 29, 2019

Registered at 119 S PARK AVE, TITUSVILLE, FL 327963377 (Tel: 3212680720)

📍

Updated Business Mailing Address July 29, 2019

Registered at PO BOX 789, TITUSVILLE, FL 327810789 (Tel: 3212680720)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1311 GARDEN ST, TITUSVILLE, FL 327963312 (Tel: 3212680720)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1311 GARDEN ST, TITUSVILLE, FL 327963312 (Tel: 3212680720)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CARLOS CARRILLO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #ME 0066715 in FL)

🟢

Initial NPI Registration & Enumeration June 27, 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: 1104853951

Entity Type:

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

Enumeration Date: June 27, 2006

Last Update: November 04, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4143 Sun N Lake Blvd

Sebring, FL 338722131

Phone: 8633866480

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.