Active NPI 1699870634 Individual Practitioner Male Practitioner

Dr. Daniel G Kalbac , MD

Orthopaedic Surgery • South Miami, FL

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Kalbac, MD is a registered Orthopaedic Surgery practitioner in South Miami, FL. With approximately 40 years of clinical practice since graduating from University Of Miami, Lm Miller School Of Medicine in 1986, Dr. Kalbac provides healthcare services at the registered practice location at 6701 SUNSET DR.

Dr. Kalbac is affiliated with Orthopaedic And Sports Medicine Center Of Miami Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of knee, 1-2 views, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6701 Sunset Dr
Suite 201

South Miami, FL 331434529

Telephone 3056617601

Fax 3056610154

Associated Practice Facility / Clinic

🏢 Gemini Orthopedic Corp Facility NPI 1194703116

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in South Miami, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +22.3 yrs vs City Avg

City Avg: 17.7 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

10 Specialists

Practicing in South Miami, FL (1597 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kalbac (40 Years) 40 Yrs

South Miami Specialty Average (17.7 Years) 17.7 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	141	97	$551.60	$134.16
73560 X-ray of knee, 1-2 views	114	85	$148.36	$35.35
20610 Aspiration and/or injection of fluid from large joint	72	24	$296.04	$68.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$738.96	$177.46
73030 X-ray of shoulder, minimum of 2 views	38	37	$149.72	$35.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$498.60	$118.72

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	165	111	$551.60	$135.36
73560 X-ray of knee, 1-2 views	141	102	$148.36	$36.15
20610 Aspiration and/or injection of fluid from large joint	127	41	$296.04	$70.69
J1100 Injection, dexamethasone sodium phosphate, 1 mg	117	11	$8.00	$0.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$741.40	$178.78
73030 X-ray of shoulder, minimum of 2 views	70	58	$149.72	$36.45
99213 Established patient office or other outpatient visit, typically 15 minutes	61	25	$394.76	$95.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$498.60	$121.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$786.88	$189.42
73080 X-ray of elbow, minimum of 3 views	16	13	$141.28	$34.41
73610 X-ray of ankle, minimum of 3 views	14	12	$159.68	$38.87

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	210	141	$545.35	$136.55
J1100 Injection, dexamethasone sodium phosphate, 1 mg	165	20	$8.00	$0.12
73560 X-ray of knee, 1-2 views	125	106	$147.78	$36.68
20610 Aspiration and/or injection of fluid from large joint	121	48	$295.25	$72.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	120	120	$738.21	$182.92
73030 X-ray of shoulder, minimum of 2 views	79	60	$147.65	$37.08
99213 Established patient office or other outpatient visit, typically 15 minutes	58	37	$392.02	$98.04
73562 X-ray of knee, 3 views	45	37	$173.50	$43.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$494.13	$123.86
73610 X-ray of ankle, minimum of 3 views	22	14	$157.47	$39.63
29879 Repair of knee joint using an endoscope	12	12	$3161.78	$785.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	112	12	$8.57	$0.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	80	$464.16	$139.61
99213 Established patient office or other outpatient visit, typically 15 minutes	105	65	$315.28	$99.15
20610 Aspiration and/or injection of fluid from large joint	98	32	$277.00	$71.88
73562 X-ray of knee, 3 views	70	57	$153.08	$43.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$724.04	$184.64
73030 X-ray of shoulder, minimum of 2 views	54	46	$126.40	$36.67
73560 X-ray of knee, 1-2 views	47	38	$133.92	$36.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$477.16	$123.49
73080 X-ray of elbow, minimum of 3 views	14	11	$135.36	$34.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	68	$315.28	$81.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	70	$464.16	$117.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$724.04	$180.45
73560 X-ray of knee, 1-2 views	65	44	$133.92	$35.64
20610 Aspiration and/or injection of fluid from large joint	57	28	$277.00	$68.92
73562 X-ray of knee, 3 views	54	48	$153.08	$40.70
73030 X-ray of shoulder, minimum of 2 views	52	48	$126.40	$35.22
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	41	14	$409.32	$96.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$477.16	$118.15
73080 X-ray of elbow, minimum of 3 views	15	14	$135.36	$33.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	183	88	$315.28	$78.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	107	$464.16	$113.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$724.04	$176.76
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	83	22	$409.32	$100.75
73562 X-ray of knee, 3 views	76	69	$153.08	$39.24
73030 X-ray of shoulder, minimum of 2 views	72	57	$126.40	$31.50
73560 X-ray of knee, 1-2 views	61	41	$133.92	$34.16
20610 Aspiration and/or injection of fluid from large joint	35	24	$277.00	$65.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$477.16	$117.80
73080 X-ray of elbow, minimum of 3 views	14	13	$135.36	$31.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	218	119	$265.21	$73.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	91	$403.59	$108.30
73560 X-ray of knee, 1-2 views	101	79	$124.33	$31.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$622.06	$169.18
73030 X-ray of shoulder, minimum of 2 views	75	63	$128.31	$29.38
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	71	25	$352.34	$93.34
20610 Aspiration and/or injection of fluid from large joint	50	33	$275.56	$62.61
73562 X-ray of knee, 3 views	42	40	$150.05	$35.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$409.05	$111.53
73610 X-ray of ankle, minimum of 3 views	17	14	$130.75	$31.49
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$157.75	$34.83
73630 X-ray of foot, minimum of 3 views	13	13	$126.20	$29.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	219	121	$240.00	$72.71
73560 X-ray of knee, 1-2 views	106	96	$121.00	$30.55
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	99	30	$330.00	$91.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	67	$350.00	$107.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$540.00	$166.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$375.00	$110.38
73030 X-ray of shoulder, minimum of 2 views	62	59	$131.00	$28.79
20610 Aspiration and/or injection of fluid from large joint	61	39	$275.00	$61.73
73630 X-ray of foot, minimum of 3 views	22	17	$130.00	$28.84
73610 X-ray of ankle, minimum of 3 views	18	14	$129.00	$31.20
73562 X-ray of knee, 3 views	12	11	$145.00	$35.34
73564 X-ray of knee, 4 or more views	12	11	$163.00	$39.02

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL ME58988

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.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License FL ME58988

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Workers Compensation

ME58988 (FL)

Commercial Insurance / Payer ID Neighborhood Health Plan

000623 (FL)

Commercial Insurance / Payer ID Avmed Health Plan

209485 (FL)

Commercial Insurance / Payer ID United Healthcare

1237594 (FL)

Commercial Insurance / Payer ID Aetna

4517471 (FL)

Commercial Insurance / Payer ID Blue Shield

17697 (FL)

Commercial Insurance / Payer ID Cigna

591370925 (FL)

Hospital & Practice Group Affiliations

Orthopaedic And Sports Medicine Center Of Miami Pa

6701 Sunset Dr, South Miami, FL 331434529

Phone: 3056617601

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Tyler Kalbac , MD

Orthopaedic Surgery

NPI 1295230928

Doctor of Medicine (M.D.)

Dennis Ramos , PA

Physician Assistant

NPI 1457497448

Physician Assistant

Atara Marko , PA-C

Physician Assistant

NPI 1689130353

Physician Assistant (Certified)

Marco Rocha , PA-C

Physician Assistant

NPI 1689921405

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 31, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 31, 2013

Registered at 6701 SUNSET DR, SUITE 201, SOUTH MIAMI, FL 331434529 (Tel: 3056617601)

📍

Updated Business Mailing Address October 31, 2013

Registered at PO BOX 430430, SOUTH MIAMI, FL 332430430 (Tel: 3056617601)

👤

Provider Name / Credentials Updated October 31, 2013

Recorded as DANIEL KALBAC, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2013

Orthopaedic Surgery (License #ME58988 in FL)

🟢

Initial NPI Registration & Enumeration September 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: 1699870634

Entity Type:

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

Enumeration Date: September 14, 2006

Last Update: October 31, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 430430

South Miami, FL 332430430

Phone: 3056617601

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.