1. Home
  2. Directory
  3. Florida
  4. Sebring
  5. Surgery
  6. NPI Profile

DR. CARLOS A. CARRILLO M.D.
NPI 1104853951
Surgery in Sebring, FL

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
4143 SUN N LAKE BLVD, SEBRING, FL 33872(863) 386-6480(863) 386-6497 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2022, Jun 2, 2020, Jul 29, 2019 (3 updates tracked since 2019).

About Dr. Carlos A. Carrillo M.d. NPPES

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

DR. CARLOS A. CARRILLO M.D. (NPI 1104853951) is an individual surgery provider in Sebring, Florida, licensed in Florida (ME66715) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and is a graduate of Emory University School Of Medicine (1985).

NPPES Registry Identity

NPI1104853951
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CARLOS A. CARRILLOCredential: M.D.
Location Address4143 SUN N LAKE BLVDSebring, FL 33872-2131
Mailing Address4143 Sun N Lake BlvdSebring, FL 33872-2131 · (863) 386-6480 · Fax (863) 386-6497
Phone(863) 386-6480
Fax(863) 386-6497
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1985
Enumeration DateJune 27, 2006
Last NPPES UpdateNovember 4, 20223 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
✔ NPI 1104853951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME66715
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.
4143 SUN N LAKE BLVD, Sebring, FL 33872
Open in Google Maps ↗

Other Identifiers 2

OtherPENDINGFL · Medicare Hf
Medicaid376142800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.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. Carlos A. Carrillo 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 ID1557447448
PECOS Enrollment IDI20080318000287
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 7

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.

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.
362 services79 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.
259 services64 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
129 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
61 services61 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
38 services26 patients
Removal of tissue from wound, each additional 20.0 sq cm 97598
This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.
30 services11 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33872 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 2

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

REYNALDO L DESCALSO MD
Surgery
4143 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 386-6480
MRS. ALYSSA CARIN MILLER APRN
Nurse Practitioner
4143 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 386-6480

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 Carlos Carrillo's NPI number?

The NPI number for Carlos Carrillo is 1104853951. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Carlos Carrillo located?

Carlos Carrillo practices at 4143 Sun N Lake Blvd, Sebring, FL 33872. The listed phone number is (863) 386-6480.

What is Carlos Carrillo's specialty?

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

Is Carlos Carrillo enrolled in Medicare?

Yes. Carlos Carrillo 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 Carlos Carrillo accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and UnitedHealthcare list Carlos Carrillo 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 Carlos Carrillo affiliated with any hospitals?

According to CMS data, Carlos Carrillo is affiliated with Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for Carlos Carrillo was last updated on November 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.