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DR. CARLOS A CORREIA MD
NPI 1255328365
Family Medicine in Fall River, MA

Active since October 04, 2005PECOS Enrolled
1030 PRESIDENT AVE, SUITE 1004, FALL RIVER, MA 02720(508) 973-9600(508) 973-9605 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2020, Jan 26, 2016 (2 updates tracked since 2016).

About Dr. Carlos A Correia Md NPPES

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

DR. CARLOS A CORREIA MD (NPI 1255328365) is an individual family medicine provider in Fall River, Massachusetts, licensed in Massachusetts (79424) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255328365
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARLOS A CORREIACredential: MD
Location Address1030 PRESIDENT AVE, SUITE 1004Fall River, MA 02720-5923
Mailing Address200 Mill Rd, Ste 180Fairhaven, MA 02719-5252 · (508) 973-2000 · Fax (508) 973-2001
Phone(508) 973-9600
Fax(508) 973-9605
Sole ProprietorNo
Enumeration DateOctober 4, 2005
Last NPPES UpdateApril 21, 20202 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
✔ NPI 1255328365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 79424
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1030 PRESIDENT AVE, Fall River, MA 02720
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Other Identifiers 1

Medicaid110054688AMA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carlos A Correia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
84 services27 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
38 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
25 suppliers202 claims463 services$5.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers84 claims97 services$0.93 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier11 claims11 services$32.17 avg. paid by Medicare
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.79 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
5 suppliers35 claims3,270 services$0.09 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier22 claims22 services$11.80 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.

DR. LESLIE E STERN M.D.
Neurological Surgery
1030 PRESIDENT AVE, SUITE 306
FALL RIVER, MA 02720
Bristol County (508) 235-6395
KELBY MAHER D.O.
Pediatrics
1030 PRESIDENT AVE
FALL RIVER, MA 02720
Bristol County (508) 679-6833
TERENCE J MCGOVERN MD
Internal Medicine (Critical Care Medicine)
1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720
Bristol County (508) 973-1780
REGINA SINGLETON N.P.
Nurse Practitioner (Adult Health)
1030 PRESIDENT AVE, SUITE 304
FALL RIVER, MA 02720
Bristol County (508) 235-6222
MARGARET TANG LEE MD
Obstetrics & Gynecology
1030 PRESIDENT AVE
FALL RIVER, MA 02720
Bristol County (508) 676-3411
LAUREL A GAY P.A.
Physician Assistant
1030 PRESIDENT AVE, SUITE 3001
FALL RIVER, MA 02720
Bristol County (508) 676-3411
DR. NICK MUCCIARDI MD
Internal Medicine (Pulmonary Disease)
1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720
Bristol County (508) 973-1780
DR. HENRY R VAILLANCOURT MD
Family Medicine
1030 PRESIDENT AVE, SUITE 104 SOUTHCOAST PHYSICIAN SERVICES INC
FALL RIVER, MA 02720
Bristol County (508) 676-3411

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 Correia's NPI number?

The NPI number for Carlos Correia is 1255328365. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Carlos Correia located?

Carlos Correia practices at 1030 President Ave Suite 1004, Fall River, MA 02720. The listed phone number is (508) 973-9600.

What is Carlos Correia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carlos Correia enrolled in Medicare?

Yes. Carlos Correia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carlos Correia was last updated on April 21, 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.