CARLOS A PLA FERNANDEZ
NPI 1194110361
Internal Medicine - Endocrinology, Diabetes & Metabolism in Tampa, FL

Active since April 03, 2015PECOS EnrolledAccepts Medicare Assignment
17 DAVIS BLVD STE 308, TAMPA, FL 33606(813) 259-0661 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carlos A Pla Fernandez NPPES

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

CARLOS A PLA FERNANDEZ (NPI 1194110361) is an individual endocrinology, diabetes & metabolism provider in Tampa, Florida, licensed in Puerto Rico (21719) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Doctors' Center Bayamon, and is a graduate of University Of Puerto Rico School Of Medicine (2015).

NPPES Registry Identity

NPI1194110361
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameCARLOS A PLA FERNANDEZ
Location Address17 DAVIS BLVD STE 308Tampa, FL 33606-3438
Mailing Address3 Ruisenor H2, TierraltaGuaynabo, PR 00969 · (787) 413-1213
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2015
Enumeration DateApril 3, 2015
Last NPPES UpdateJuly 10, 2020
NPPES CertifiedJuly 10, 2020
NPI 1194110361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in PR · 21719
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
17 DAVIS BLVD STE 308, Tampa, FL 33606

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Carlos A Pla Fernandez 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 ID2264857101
PECOS Enrollment IDI20200810000607
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 2

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 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.
52 services34 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.
22 services16 patients

Hospital Affiliations CMS Care Compare

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

Doctors' Center Bayamon

Acute Care Hospitals · Bayamon, PR
OwnershipProprietary
CMS Certification Number400102
LocationCalle J 9 Extension Hermanas DavilaBayamon, PR 00960 · Bayamon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33606 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Emergency Medicine
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606

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 Pla Fernandez's NPI number?

The NPI number for Carlos Pla Fernandez is 1194110361. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Where is Carlos Pla Fernandez located?

Carlos Pla Fernandez practices at 17 Davis Blvd Ste 308, Tampa, FL 33606. The listed phone number is (813) 259-0661.

What is Carlos Pla Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Carlos Pla Fernandez enrolled in Medicare?

Yes. Carlos Pla Fernandez 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 Carlos Pla Fernandez affiliated with any hospitals?

According to CMS data, Carlos Pla Fernandez is affiliated with Doctors' Center Bayamon.

When was this NPI record last updated?

The NPPES record for Carlos Pla Fernandez was last updated on July 10, 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.