1. Home
  2. Directory
  3. NPI Profile

JUAN CARLOS CARBALLO MD
NPI 1144722117
Pathology - Anatomic Pathology & Clinical Pathology in Guaynabo, PR

Active since March 06, 2018PECOS EnrolledAccepts Medicare Assignment
75.59/100
CMS Quality Rating
413 CALLE REINA ISABEL, GUAYNABO, PR 00969(787) 485-0974 Get Directions Write a Review

NPPES record last updated: March 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juan Carlos Carballo Md NPPES

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

JUAN CARLOS CARBALLO MD (NPI 1144722117) is an individual anatomic pathology & clinical pathology provider in Guaynabo, Puerto Rico, licensed in Puerto Rico (33195) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Community Hosp, and is a graduate of Ponce School Of Medicine (2016).

NPPES Registry Identity

NPI1144722117
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameJUAN CARLOS CARBALLOCredential: MD
Location Address413 CALLE REINA ISABELGuaynabo, PR 00969-3342
Mailing Address413 Calle Reina IsabelGuaynabo, PR 00969-3342 · (787) 485-0974
Phone(787) 485-0974
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 2016
Enumeration DateMarch 6, 2018
✔ NPI 1144722117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in PR · 33195
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

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

Juan Carlos Carballo Md 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 ID4981014388
PECOS Enrollment IDI20201112002330
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 11

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
85 services13 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
62 services12 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
32 services26 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
29 services19 patients
Evaluation of fine needle aspirate 88172
Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).
21 services15 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
20 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Presbyterian Community Hosp

Acute Care Hospitals · San Juan, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400001
Location1451 Ashford AvenueSan Juan, PR 00907 · San Juan County
Emergency services

Hospital Pavia Santurce

Acute Care Hospitals · San Juan, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400019
LocationStreet Profesor Augusto Rodriguez #1462San Juan, PR 00910 · San Juan County
Emergency services

Hospital Pavia Caguas

Acute Care Hospitals · Caguas, PR
OwnershipProprietary
CMS Certification Number400120
LocationUrb Mariolga 100 Ave Luis Munoz MarinCaguas, PR 00725 · Caguas County
Emergency services Birthing friendly

Hospital Del Centro Comprensivo De Cancer

Acute Care Hospitals · San Juan, PR
OwnershipGovernment - State
CMS Certification Number400135
LocationPr 21 Int Pr 18 Bo Monacillos UrbanoSan Juan, PR 00927 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00969 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
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.

75.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.29
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 Juan Carballo's NPI number?

The NPI number for Juan Carballo is 1144722117. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Where is Juan Carballo located?

Juan Carballo practices at 413 Calle Reina Isabel, Guaynabo, PR 00969. The listed phone number is (787) 485-0974.

What is Juan Carballo's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Juan Carballo enrolled in Medicare?

Yes. Juan 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.

Is Juan Carballo affiliated with any hospitals?

According to CMS data, Juan Carballo is affiliated with Presbyterian Community Hosp, Hospital Pavia Santurce, Hospital Pavia Caguas and Hospital Del Centro Comprensivo De Cancer.

When was this NPI record last updated?

The NPPES record for Juan Carballo was last updated on March 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.