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DR. CARMEN PAZ PICHARD ENCINA M.D.
NPI 1184760605
Orthopaedic Surgery in Baltimore, MD

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
JOHNS HOPKINS HOSPITAL, 601 NORTH CAROLINE ST. #5240, BALTIMORE, MD 21287(410) 283-1586 Get Directions Write a Review

NPPES record last updated: September 29, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Carmen Paz Pichard Encina M.d. NPPES

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

DR. CARMEN PAZ PICHARD ENCINA M.D. (NPI 1184760605) is an individual orthopaedic surgery provider in Baltimore, Maryland, licensed in Maryland (D71043) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2005).

NPPES Registry Identity

NPI1184760605
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameDR. CARMEN PAZ PICHARD ENCINACredential: M.D.
Location AddressJOHNS HOPKINS HOSPITAL, 601 NORTH CAROLINE ST. #5240Baltimore, MD 21287-0001
Mailing AddressPo Box 64664Baltimore, MD 21264-4664
Phone(410) 283-1586
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2005
Enumeration DateJanuary 30, 2007
Last NPPES UpdateSeptember 29, 2010
✔ NPI 1184760605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in MD · D71043✔ Licensed in MD · T4887
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
JOHNS HOPKINS HOSPITAL, Baltimore, MD 21287
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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. Carmen Paz Pichard Encina 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 ID9638364052
PECOS Enrollment IDI20101111000508, I20250909002603
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 Reassignment

Medicare enrollment records show Carmen Pichard Encina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medstar Medical Group II LLC
4.3 mi
General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 3,530 clinicians in this Medicare group
NPI 1184046187 (443) 444-5606

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 4

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.

Telephone, internet, or electronic health record assessment and management with verbal and written report by consulting physician, 5-10 minutes 99446
This service involves a brief 5-10 minute consultation with a physician over the phone or internet. The doctor will assess your health concerns and provide a verbal and written report of their findings. This is a convenient way to receive medical advice from the comfort of your home.
90 services90 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.
39 services37 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
15 services15 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Other Providers at the Same Location NPPES 20

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

MR. MATTHEW A GIBSON MS
Student in an Organized Health Care Education/Training Program
JOHNS HOPKINS HOSPITAL, 1800 ORLEANS STREET
BALTIMORE, MD 21287
Baltimore City (434) 465-8568
DR. WILLIAM RAYMOND BREAKEY MD
Psychiatry & Neurology (Psychiatry)
JOHNS HOPKINS HOSPITAL, 600 NORTHE BROADWAY
BALTIMORE, MD 21287
Baltimore City (410) 955-5129
DR. ARI MEIR BLITZ MD
Radiology (Neuroradiology)
JOHNS HOPKINS HOSPITAL, 600 NORTH WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-6500
MISS KIMBERLY RENEE SHULTZ PA-C
Physician Assistant
JOHNS HOPKINS HOSPITAL, 600 NORTH WOLFE STREET
BALTIMORE, MD 21287
Baltimore City (972) 754-5317
MRS. COLLEEN LENZ CPNP
Nurse Practitioner (Pediatrics)
JOHNS HOPKINS HOSPITAL, 601 NORTH CAROLINE STREET
BALTIMORE, MD 21287
Baltimore City (443) 287-6493
KAROLINA PAZIANA DEAUGUSTINIS
Emergency Medicine
JOHNS HOPKINS HOSPITAL, 1830 E. MONUMENT ST, 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-3380
ADAM IDDRISS MD
Surgery
JOHNS HOPKINS HOSPITAL, 600 N. WOLFE STREET, BLALOCK 658
BALTIMORE, MD 21287
Baltimore City (412) 508-5573
MRS. LINDSAY E WILSON RN, MSN, CPNP
Nurse Practitioner (Pediatrics)
JOHNS HOPKINS HOSPITAL, 600 N. WOLFE STREEET, BRADY 320
BALTIMORE, MD 21287
Baltimore City (410) 955-9163

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 Carmen Pichard Encina's NPI number?

The NPI number for Carmen Pichard Encina is 1184760605. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Carmen Pichard Encina located?

Carmen Pichard Encina practices at Johns Hopkins Hospital 601 North Caroline St. #5240, Baltimore, MD 21287. The listed phone number is (410) 283-1586.

What is Carmen Pichard Encina's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Carmen Pichard Encina enrolled in Medicare?

Yes. Carmen Pichard Encina 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 organization bills Medicare for Carmen Pichard Encina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Pichard Encina reassigns Medicare benefits to Medstar Medical Group II LLC (Baltimore, MD). The 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 Carmen Pichard Encina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carmen Pichard Encina was last updated on September 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.