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CARMEN C. ORTA AUD.
NPI 1023312675
Audiologist in Miami, FL

Active since December 22, 2010Accepts Medicare Assignment
87.59/100
CMS Quality Rating
3661 SOUTH MIAMI AVE., SUITE 409, MIAMI, FL 33133(305) 854-5971 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carmen C. Orta Aud. NPPES

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

CARMEN C. ORTA AUD. (NPI 1023312675) is an individual audiologist in Miami, Florida, licensed in Florida (AY1630) and active in the NPI registry since December 2010. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1023312675
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameCARMEN C. ORTACredential: AUD.
Location Address3661 SOUTH MIAMI AVE., SUITE 409Miami, FL 33133
Mailing Address15280 Nw 79th Ct Ste 200Miami Lakes, FL 33016-5873 · (305) 558-3724 · Fax (786) 907-4485
Phone(305) 854-5971
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 22, 2010
Last NPPES UpdateDecember 19, 2022
NPPES CertifiedDecember 19, 2022
✔ NPI 1023312675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in FL · AY1630
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
3661 SOUTH MIAMI AVE., Miami, FL 33133
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carmen C. Orta Aud. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759562663
PECOS Enrollment IDI20110225000339

Medicare Billing Reassignment

Medicare enrollment records show Carmen Orta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Ent Associates, Inc.
4.8 mi
Otolaryngology
1350 SW 57TH AVE STE 210
West Miami, FL 33144
  • Reassigned Medicare billing, Florida enrollment
  • 158 clinicians in this Medicare group
NPI 1184625733 (305) 558-3724

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
54 services54 patients
Analysis and reprogramming of inner ear implant (7 years or older) 92604
An analysis and reprogramming of an inner ear implant involves checking the device's performance and adjusting its settings for optimal hearing. This non-invasive procedure helps ensure the implant continues to meet the patient's hearing needs.
26 services12 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33133 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
$60.92 typical visit price
range $60.92 – $187.05
Typical copayment $15.23 (range $15.23 – $46.76)
Most-billed visit code 99202
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.34
Promoting Interoperability91
Improvement Activities40

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 Carmen Orta's NPI number?

The NPI number for Carmen Orta is 1023312675. It was assigned to this individual provider in the NPPES registry on December 22, 2010.

Where is Carmen Orta located?

Carmen Orta practices at 3661 South Miami Ave. Suite 409, Miami, FL 33133. The listed phone number is (305) 854-5971.

What is Carmen Orta's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Carmen Orta enrolled in Medicare?

Yes. Carmen Orta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Carmen Orta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Orta reassigns Medicare benefits to Florida Ent Associates, Inc. (West Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carmen Orta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Orta accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Carmen Orta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carmen Orta was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.