CARLOS ACEVEDO GADEA M.D.
NPI 1235257668
Internal Medicine - Hematology & Oncology in Orlando, FL

Active since March 26, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
922 LUCERNE TER, ORLANDO, FL 32806(407) 426-8660 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carlos Acevedo Gadea M.d. NPPES

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

CARLOS ACEVEDO GADEA M.D. (NPI 1235257668) is an individual hematology & oncology provider in Orlando, Florida, licensed in Florida (ME120736) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1235257668
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameCARLOS ACEVEDO GADEACredential: M.D.
Location Address922 LUCERNE TEROrlando, FL 32806-1013
Mailing Address922 Lucerne TerraceOrlando, FL 32806-1013 · (407) 426-8660 · Fax (407) 839-1426
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 28, 2016
NPI 1235257668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in FL · ME120736
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedHospitalistTaxonomy 208M00000X · License 231968 (MA)
922 LUCERNE TER, Orlando, FL 32806

Other Identifiers 1

OtherP00435673AR · Rr Medicare

Accepted Insurance

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 Acevedo Gadea 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 ID1759472103
PECOS Enrollment IDI20160913002726
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 15

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
1,049 services101 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.
780 services197 patients
Flow cytometry technique for dna or cell analysis, each additional marker 88185
Flow cytometry is a technique that helps analyze the physical and chemical characteristics of cells or particles. When an additional marker is used, it aids in identifying specific cell types or stages of disease. This helps in precise diagnosis and treatment planning.
725 services23 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.
432 services107 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.
298 services129 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.
286 services81 patients

Hospital Affiliations CMS Care Compare 3

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number100030
Location10000 W Colonial DrOcoee, FL 34761 · Orange County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability92
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Hematology & Oncology)
922 LUCERNE TER
ORLANDO, FL 32806
Internal Medicine (Hematology & Oncology)
922 LUCERNE TER
ORLANDO, FL 32806
Internal Medicine (Hematology & Oncology)
922 LUCERNE TER
ORLANDO, FL 32806
Internal Medicine (Hematology & Oncology)
922 LUCERNE TER
ORLANDO, FL 32806

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 Gadea's NPI number?

The NPI number for Carlos Gadea is 1235257668. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Carlos Gadea located?

Carlos Gadea practices at 922 Lucerne Ter, Orlando, FL 32806. The listed phone number is (407) 426-8660.

What is Carlos Gadea's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Carlos Gadea enrolled in Medicare?

Yes. Carlos Gadea 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.

What insurance does Carlos Gadea accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Carlos Gadea 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 Gadea affiliated with any hospitals?

According to CMS data, Carlos Gadea is affiliated with Orlando Health, Adventhealth Orlando and Orlando Health-Health Central Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Gadea was last updated on July 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.