DR. CARL P DILELLA D.O.
NPI 1033201058
Orthopaedic Surgery - Sports Medicine in Vero Beach, FL

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
86.12/100
CMS Quality Rating
1285 36TH ST STE 100, VERO BEACH, FL 32960(772) 778-2009(772) 778-1895 Get Directions Write a Review

NPPES record last updated: March 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carl P Dilella D.o. NPPES

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

DR. CARL P DILELLA D.O. (NPI 1033201058) is an individual sports medicine provider in Vero Beach, Florida, licensed in Florida (OS13249) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1033201058
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. CARL P DILELLACredential: D.O.
Location Address1285 36TH ST STE 100Vero Beach, FL 32960-6587
Mailing Address1285 36th St Ste 100Vero Beach, FL 32960-6587 · (772) 778-2009 · Fax (772) 778-1895
Fax(772) 778-1895
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2001
Enumeration DateSeptember 28, 2006
Last NPPES UpdateMarch 15, 2016
NPI 1033201058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Licenses Licensed in FL · OS13249 Licensed in CA · 20A9582
Definition
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.
1285 36TH ST STE 100, Vero Beach, FL 32960

Other Identifiers 2

Medicare ID-Type Unspecified036110951IL
Medicare UPINI07501IL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Carl P Dilella D.o. 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 ID2567449846
PECOS Enrollment IDI20150819008127
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.

Areas of Expertise CMS Part B claims 25

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.

Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg J7320
Genvisc 850 is an injection containing hyaluronan, a substance naturally found in your joints. It helps to lubricate and cushion your joints. This treatment is used to relieve knee pain due to osteoarthritis when other treatments have not worked.
2,457 services32 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
745 services72 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
637 services379 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
579 services404 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
477 services289 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
261 services227 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

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.

86.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.59
Promoting Interoperability99
Improvement Activities40
Cost80.99

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
49%516 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
91%3,262 patients4/55-star benchmark: 100%
e-Prescribing
96%314 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
75%1,168 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%1,708 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%2,734 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,173 patients
0%1,173 patients
Provide Patients Electronic Access to Their Health Information
78%1,015 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
89%101 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,175 patients
Patients totalRate: 1% · 1,176 patients
1%1,176 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier73 claims73 services$106.75 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$45.69 avg. paid by Medicare
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment L3960
DME-Orthotic Devices · category DF000N
1 supplier17 claims17 services$609.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Physical Therapist
1285 36TH ST STE 100
VERO BEACH, FL 32960
Physical Therapist
1285 36TH ST STE 100
VERO BEACH, FL 32960

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 Dilella's NPI number?

The NPI number for Carl Dilella is 1033201058. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Carl Dilella located?

Carl Dilella practices at 1285 36th St Ste 100, Vero Beach, FL 32960. The listed phone number is (772) 778-2009.

What is Carl Dilella's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Carl Dilella enrolled in Medicare?

Yes. Carl Dilella 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.

What insurance does Carl Dilella accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Carl Dilella 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.

Is Carl Dilella affiliated with any hospitals?

According to CMS data, Carl Dilella is affiliated with Cleveland Clinic Martin North Hospital and Cleveland Clinic Indian River Hospital.

When was this NPI record last updated?

The NPPES record for Carl Dilella was last updated on March 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.