CARLOS R. TANDRON M.D.
NPI 1245234012
Orthopaedic Surgery in Jacksonville, FL

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
1325 SAN MARCO BLVD, SUITE 200, JACKSONVILLE, FL 32207(904) 346-3465(904) 858-6489 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2023, Nov 17, 2020, Feb 3, 2017 (3 updates tracked since 2017).

About Carlos R. Tandron M.d. NPPES

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

CARLOS R. TANDRON M.D. (NPI 1245234012) is an individual orthopaedic surgery provider in Jacksonville, Florida, licensed in Florida (ME56140) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Emory University School Of Medicine (1984).

NPPES Registry Identity

NPI1245234012
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameCARLOS R. TANDRONCredential: M.D.
Location Address1325 SAN MARCO BLVD, SUITE 200Jacksonville, FL 32207-8559
Mailing AddressPo Box 40767Jacksonville, FL 32203-0767 · (904) 376-3707 · Fax (904) 391-5001
Fax(904) 858-6489
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1984
Enumeration DateJune 9, 2005
Last NPPES UpdateDecember 8, 20233 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
NPI 1245234012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in FL · ME56140
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.

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License ME56140 (FL)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License ME56140 (FL)
1325 SAN MARCO BLVD, Jacksonville, FL 32207

Other Identifiers 2

Other200016297FL · Railroad Medicare
Medicaid0617083-00FL

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 R. Tandron 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 ID3072526128
PECOS Enrollment IDI20060713000297
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 16

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 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.
441 services329 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.
310 services253 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
295 services243 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
266 services207 patients
Hyaluronan or derivative, gel-one, for intra-articular injection, per dose J7326
Hyaluronan or Gel-One is a substance injected directly into your joint space. It's aimed to supplement your body's natural joint fluid, helping to lubricate and cushion the joint, reducing pain and improving mobility. It's often used for arthritis relief.
223 services149 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
171 services140 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers16 claims16 services$42.64 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
3 suppliers14 claims14 services$46.24 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
2 suppliers37 claims686 services$21.76 avg. paid by Medicare
Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812
DME-Orthotic Devices · category DF011N
1 supplier67 claims67 services$75.45 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.

Physical Therapist
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, #102
JACKSONVILLE, FL 32207
Internal Medicine (Pulmonary Disease)
1325 SAN MARCO BLVD, REID BUILDING, STE 300
JACKSONVILLE, FL 32207
Nurse Practitioner (Family)
1325 SAN MARCO BLVD, REID BUILDING SUITE 300
JACKSONVILLE, FL 32207
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Physician Assistant
1325 SAN MARCO BLVD, SUITE 200
JACKSONVILLE, FL 32207

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 Tandron's NPI number?

The NPI number for Carlos Tandron is 1245234012. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Carlos Tandron located?

Carlos Tandron practices at 1325 San Marco Blvd Suite 200, Jacksonville, FL 32207. The listed phone number is (904) 346-3465.

What is Carlos Tandron's specialty?

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

Is Carlos Tandron enrolled in Medicare?

Yes. Carlos Tandron 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 Tandron accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Carlos Tandron 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 Tandron affiliated with any hospitals?

According to CMS data, Carlos Tandron is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches and Baptist Medical Center - Nassau.

When was this NPI record last updated?

The NPPES record for Carlos Tandron was last updated on December 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.