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DR. MARILEE CARBALLO M.D.
NPI 1033348578
Surgery in Downey, CA

Active since July 06, 2009PECOS EnrolledAccepts Medicare Assignment
8504 FIRESTONE BLVD # 242, DOWNEY, CA 90241(760) 537-5139 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2019, Jan 18, 2019, Aug 30, 2016 and 1 more (4 updates tracked since 2015).

About Dr. Marilee Carballo M.d. NPPES

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

DR. MARILEE CARBALLO M.D. (NPI 1033348578) is an individual surgery provider in Downey, California, licensed in California (A138584) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of University Of California, Geffen School Of Medicine (2009).

NPPES Registry Identity

NPI1033348578
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. MARILEE CARBALLOCredential: M.D.
Location Address8504 FIRESTONE BLVD # 242Downey, CA 90241-4926
Mailing Address8504 Firestone Blvd # 242Downey, CA 90241-4926
Phone(760) 537-5139
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2009
Enumeration DateJuly 6, 2009
Last NPPES UpdateAugust 27, 20194 updates tracked since enumeration
✔ NPI 1033348578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in CA · A138584✔ Licensed in PA · MD450361✔ Licensed in PA · MT195491✔ Licensed in WI · 18346-875
Definition
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.
8504 FIRESTONE BLVD # 242, Downey, CA 90241
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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. Marilee Carballo M.d. 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 ID8123351129
PECOS Enrollment IDI20200306000602
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
316 services169 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services24 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
26 services26 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services14 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Hospital - Anderson Campus

Acute Care Hospitals · Easton, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390326
Location1872 St Luke's BlvdEaston, PA 18045 · Northampton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90241 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Marilee Carballo's NPI number?

The NPI number for Marilee Carballo is 1033348578. It was assigned to this individual provider in the NPPES registry on July 6, 2009.

Where is Marilee Carballo located?

Marilee Carballo practices at 8504 Firestone Blvd # 242, Downey, CA 90241. The listed phone number is (760) 537-5139.

What is Marilee Carballo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Marilee Carballo enrolled in Medicare?

Yes. Marilee Carballo 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 Marilee Carballo accept?

Health plans from Blue Cross and Blue Shield of Texas list Marilee Carballo 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 Marilee Carballo affiliated with any hospitals?

According to CMS data, Marilee Carballo is affiliated with St Luke's Hospital Bethlehem and St Luke's Hospital - Anderson Campus.

When was this NPI record last updated?

The NPPES record for Marilee Carballo was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.