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CARL TACK MD
NPI 1023189529
Radiology - Vascular & Interventional Radiology in Vero Beach, FL

Active since November 13, 2006PECOS Enrolled
1000 36TH ST, VERO BEACH, FL 32960(772) 563-4711 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2025, Jan 10, 2023, May 25, 2022 (3 updates tracked since 2022).

About Carl Tack Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARL TACK MD (NPI 1023189529) is an individual vascular & interventional radiology provider in Vero Beach, Florida, licensed in Florida (122629) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1023189529
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameCARL TACKCredential: MD
Location Address1000 36TH STVero Beach, FL 32960-4862
Mailing Address22 Gateway LnManorville, NY 11949-2527 · (718) 612-6662 · Fax (631) 878-6021
Phone(772) 563-4711
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateNovember 13, 2006
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1023189529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in FL · 122629
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
1000 36TH ST, Vero Beach, FL 32960
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Other Identifiers 2

Medicaid01225323NY
Medicaid200093473MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carl Tack Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345233441
PECOS Enrollment IDI20251111003415
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32960 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROBERT MATTHEW TACK PA-C
Physician Assistant
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 567-4311
DR. FARAH YOLANDA FOURCAND M.D.
Psychiatry & Neurology (Vascular Neurology)
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 567-4311
MR. CRAIG JOSEPH ROMERO PHYSICIAN ASSISTANT
Physician Assistant (Medical)
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 567-4311
TRACY BEST APRN-FNP
Nurse Practitioner (Family)
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 567-4311
KATELIN MCGINNIS R.D
Dietitian, Registered
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 567-4311
JENNY NGAN NGUYEN PA
Physician Assistant
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 567-4311
PHYSICIAN ASSISTANT SERVICES OF THE TREASURE COAST
Physician Assistant (Surgical)
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 713-6263
ABHISHEK BHARDWAJ MD
Internal Medicine
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 567-4311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Tack's NPI number?

The NPI number for Carl Tack is 1023189529. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Carl Tack located?

Carl Tack practices at 1000 36th St, Vero Beach, FL 32960. The listed phone number is (772) 563-4711.

What is Carl Tack's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Carl Tack enrolled in Medicare?

Yes. Carl Tack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carl Tack was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.