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DR. CARLOS M BAEZ CUBILLE MD
NPI 1225082068
General Practice in Sebring, FL

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
4597 CASABLANCA CIR, SEBRING, FL 33870(863) 236-9550(877) 832-3363 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Carlos M Baez Cubille Md NPPES

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

DR. CARLOS M BAEZ CUBILLE MD (NPI 1225082068) is an individual general practice provider in Sebring, Florida, licensed in Florida (ACN1525) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1225082068
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. CARLOS M BAEZ CUBILLECredential: MD
Location Address4597 CASABLANCA CIRSebring, FL 33870-1206
Mailing Address4597 Casablanca CirSebring, FL 33870-1206 · (863) 236-9550 · Fax (877) 832-3363
Phone(863) 236-9550
Fax(877) 832-3363
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 21, 2023
NPPES CertifiedAugust 21, 2023
✔ NPI 1225082068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN1525
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4597 CASABLANCA CIR, Sebring, FL 33870
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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. Carlos M Baez Cubille 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 ID749467421
PECOS Enrollment IDI20230919004117
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

2

Medicare enrollment records show Carlos Baez Cubille reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shield Medical Group PLLC
Same address
Internal Medicine
4597 CASABLANCA CIR
Sebring, FL 33870
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1184125338 (863) 236-9550
Sur-Med Medical Corp.
1,171 mi
Clinical Medical Laboratory
8 CALLE COLON PACHECO
Salinas, PR 00751
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1972594836 (787) 824-7097

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 5

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.
83 services60 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
69 services61 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.
42 services32 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
24 services24 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.
12 services12 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

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.

SHIELD MEDICAL GROUP PLLC
Internal Medicine
4597 CASABLANCA CIR
SEBRING, FL 33870
Highlands County (863) 236-9550
DR. KULMEET S KUNDLAS M.D.
Internal Medicine
4597 CASABLANCA CIR
SEBRING, FL 33870
Highlands County (863) 236-9550

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 Baez Cubille's NPI number?

The NPI number for Carlos Baez Cubille is 1225082068. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Carlos Baez Cubille located?

Carlos Baez Cubille practices at 4597 Casablanca Cir, Sebring, FL 33870. The listed phone number is (863) 236-9550.

What is Carlos Baez Cubille's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Carlos Baez Cubille enrolled in Medicare?

Yes. Carlos Baez Cubille 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 Carlos Baez Cubille's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Baez Cubille reassigns Medicare benefits to 2 organizations: Shield Medical Group PLLC (Sebring, FL) and Sur-Med Medical Corp. (Salinas, PR). 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 Carlos Baez Cubille's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Baez Cubille accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Carlos Baez Cubille 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 Baez Cubille affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Carlos Baez Cubille was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.