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DR. CARLA SUE MCWILLIAMS M.D.
NPI 1164652624
Internal Medicine - Infectious Disease in Weston, FL

Active since July 19, 2009PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
2950 CLEVELAND CLINIC BLVD DEPT OF, WESTON, FL 33331(954) 659-5165 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Carla Sue Mcwilliams M.d. NPPES

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

DR. CARLA SUE MCWILLIAMS M.D. (NPI 1164652624) is an individual infectious disease provider in Weston, Florida, licensed in Florida (ME127176) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1164652624
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. CARLA SUE MCWILLIAMSCredential: M.D.
Location Address2950 CLEVELAND CLINIC BLVD DEPT OFWeston, FL 33331-3609
Mailing Address2950 Cleveland Clinic Blvd Dept OfWeston, FL 33331-3625 · (954) 659-5165 · Fax (954) 659-5166
Phone(954) 659-5165
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 19, 2009
Last NPPES UpdateJanuary 31, 2020
✔ NPI 1164652624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in FL · ME127176✔ Licensed in NY · 266431
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 266431 (NY)
2950 CLEVELAND CLINIC BLVD DEPT OF, Weston, FL 33331
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Secondary Practice Location 1

Location 1150 55th St, Department of Medicine, Lutheran Medical CenterBrooklyn, NY 11220-2508 · Phone (347) 377-4085 · Fax (718) 210-1020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, AmeriHealth Caritas Next, AvMed and more.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

Dr. Carla Sue Mcwilliams 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 ID3577706878
PECOS Enrollment IDI20160415000155
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Carla Mcwilliams reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cleveland Clinic Florida A Nonprofit Corporation
Same address
Clinic/Center
2950 CLEVELAND CLINIC BLVD
Weston, FL 33331
  • Reassigned Medicare billing, Florida enrollment
  • 839 clinicians in this Medicare group
NPI 1215989298 (954) 659-6035
Martin Memorial Medical Center Inc
75 mi
Urgent Care
3801 S KANNER HWY STE 100
Stuart, FL 34994
  • Reassigned Medicare billing, Florida enrollment
  • 602 clinicians in this Medicare group
NPI 1154962918 (772) 223-2832
Indian River Health Services Inc
104 mi
Internal Medicine
4165 OSLO RD, SUITE 106
Vero Beach, FL 32968
  • Reassigned Medicare billing, Florida enrollment
  • 505 clinicians in this Medicare group
NPI 1093095333 (772) 567-4311

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 9

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.
230 services102 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.
158 services109 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.
86 services66 patients
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.
71 services39 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.
36 services36 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Cleveland Clinic Hospital

Acute Care Hospitals · Weston, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100289
Location3100 Weston RdWeston, FL 33331 · Broward County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33331 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

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.

DR. PRATIBAA VRINDA SURESH DO
Internal Medicine
2950 CLEVELAND CLINIC BLVD DEPT OF
WESTON, FL 33331
Broward County (954) 659-5000
ASAD UR RAHMAN M.D.
Internal Medicine (Gastroenterology)
2950 CLEVELAND CLINIC BLVD DEPT OF
WESTON, FL 33331
Broward County (407) 303-7270

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 Carla Mcwilliams's NPI number?

The NPI number for Carla Mcwilliams is 1164652624. It was assigned to this individual provider in the NPPES registry on July 19, 2009.

Where is Carla Mcwilliams located?

Carla Mcwilliams practices at 2950 Cleveland Clinic Blvd Dept Of, Weston, FL 33331. The listed phone number is (954) 659-5165.

What is Carla Mcwilliams's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Carla Mcwilliams enrolled in Medicare?

Yes. Carla Mcwilliams 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 organizations bill Medicare for Carla Mcwilliams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Mcwilliams reassigns Medicare benefits to 3 organizations: Cleveland Clinic Florida A Nonprofit Corporation (Weston, FL), Martin Memorial Medical Center Inc (Stuart, FL) and Indian River Health Services Inc (Vero Beach, FL). Each 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 Carla Mcwilliams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carla Mcwilliams accept?

Health plans from Ambetter from Superior HealthPlan, AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Carla Mcwilliams 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 Carla Mcwilliams affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Carla Mcwilliams was last updated on January 31, 2020. 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.