DR. HECTOR L DI CARLO MD
NPI 1356597785
Family Medicine in Fort Lauderdale, FL


Quality Rating: 56.1 out of 100 score

NPI Status: Active since August 18, 2008

Contact Information

500 SE 17TH ST
SUITE 110
FORT LAUDERDALE, FL
ZIP 33316
Phone: (954) 533-1173
Fax: (954) 533-0723

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  • Individual
  • Male
  • Years of Experience 43
  • Family Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting
  • CLIA Number 10D2101376
  • CLIA Certificate of Waiver

About HECTOR DI CARLO

Hector Di Carlo is a primary care provider established in Fort Lauderdale, Florida and his medical specialization is Family Medicine with more than 43 years of experience. The healthcare provider is registered in the NPI registry with number 1356597785 assigned on August 2008. The practitioner's primary taxonomy code is 207Q00000X with license number ME102570 (FL). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI1356597785
Provider NameDR. HECTOR L DI CARLO MD
Location Address500 SE 17TH ST SUITE 110 FORT LAUDERDALE, FL 33316
Location Phone(954) 533-1173
Mailing Address500 SE 17TH ST SUITE 110 FORT LAUDERDALE, FL 33316
GenderMale
Entity TypeIndividual
Medical School NameOTHER
Graduation Year1981
Is Sole Proprietor?No
Enumeration Date08-18-2008
Last Update Date11-13-2015
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A primary care provider (PCP) like Hector Di Carlo sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Hector Di Carlo is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 56.1, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: pneumococcal vaccination status for older adults and preventive care and screening: body mass index (bmi) screening and follow-up plan.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.66 for a new patient copayment and $27.09 for an established patient copayment.

The CLIA number of Hector Di Carlo is 10D2101376 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Hector Di Carlo to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Location Map

Mailing Address

500 SE 17TH ST
SUITE 110
FORT LAUDERDALE, FL
ZIP 33316
Phone: (954) 533-1173
Fax: (954) 533-0723

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code207Q00000X
TypeAllopathic & Osteopathic Physicians
License No.ME102570
License StateFL
Taxonomy DescriptionFamily 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.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AU052ZMEDICARE PIN (08)FL 
001124400MEDICAID (05)FL 

PECOS Enrollment and Medicare Participation Status

Hector Di Carlo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3971662560

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20081112000041

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 33316 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.64
  • Minimum New Patient Price $61.36
  • Maximum New Patient Price $187
  • Average New Patient Copayment $23.66
  • Minimum New Patient Copayment $15.34
  • Maximum New Patient Copayment $46.75

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $108.36
  • Minimum Established Patient Price $18.68
  • Maximum Established Patient Price $151.65
  • Average Established Patient Copayment $27.09
  • Minimum Established Patient Copayment $4.67
  • Maximum Established Patient Copayment $37.91

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 56.1 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 66

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 0

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Pneumococcal Vaccination Status for Older Adults 55% 144
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 198
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 219

    Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

  • 52

    Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)

  • 52

    Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem (HCPCS:G0180)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Hector Di Carlo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
BROWARD HEALTH MEDICAL CENTER1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
(954) 355-4400Acute Care Hospitals
HOLY CROSS HOSPITAL4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
(954) 771-8000Acute Care Hospitals
BROWARD HEALTH IMPERIAL POINT6401 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
(954) 776-8500Acute Care Hospitals

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number10D2101376
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356597785
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2310610914716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 0 + 9 + 1 + 4 + 7 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1356597785 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356337604FLORIDA BRACING CENTERS INC
Organization
Orthotist500 SE 17TH ST SUITE 301
FORT LAUDERDALE, FL 33316
(954) 525-6700
1003010380MARTIN M ROCHE MD PA
Organization
Ophthalmology500 SE 17TH ST SUITE 100
FT LAUDERDALE, FL 33316
(954) 462-7558
1932377017MR. JAIME TINOCO ACUPUNCTURIST
Individual
Acupuncturist500 SE 17TH ST STE # 220
FORT LAUDERDALE, FL 33316
(954) 682-5814
1043465834STEVEN F BRAND DC PA
Organization
Chiropractor500 SE 17TH ST SUITE 220
FT LAUDERDALE, FL 33316
(954) 523-5289
1548259278DR. ADOLFO GONZALEZ-GARCIA MD
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)500 SE 17TH ST PREMIERE PERINATAL ASSOCIATES
FT LAUDERDALE, FL 33316
(954) 468-3080
1245481928PALLIATIVE CARE ASSOCIATES LLC
Organization
Family Medicine (Hospice and Palliative Medicine)500 SE 17TH ST 301
FT LAUDERDALE, FL 33316
(954) 636-1364
1750646030PALLIATIVE MEDICAL SPECIALTIES LLC
Organization
Family Medicine (Hospice and Palliative Medicine)500 SE 17TH ST SUITE 301
FORT LAUDERDALE, FL 33316
(954) 990-7038
1598146474HECTOR L DI CARLO MD PA
Organization
Family Medicine (Adult Medicine)500 SE 17TH ST SUITE 110
FORT LAUDERDALE, FL 33316
(954) 533-1173
1689039000SOUTH FLORIDA ANTI-AGING & AESTHETICS, LLC
Organization
Clinic/Center (Health Service)500 SE 17TH ST 200
FORT LAUDERDALE, FL 33316
(954) 906-0399
1568411700PHOENIX OBSTERICS/GYNECOLOGY, LLC
Organization
Obstetrics & Gynecology500 SE 17TH ST SUITE 100
FT LAUDERDALE, FL 33316
(919) 425-1565

Frequently Asked Questions

What is Dr. Hector Di Carlo MD NPI number?

The NPI number assigned to this healthcare provider is 1356597785, enumerated in the NPI registry as an "individual" on August 18, 2008

Where is the provider located?

The provider is located at 500 Se 17th St Suite 110 Fort Lauderdale, Fl 33316 and the phone number is (954) 533-1173

What is the provider specialty code?

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

How many years of experience does Dr. Hector Di Carlo MD have?

The provider has more than 43 years of experience.

What insurance does Dr. Hector Di Carlo MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Dr. Hector Di Carlo MD registered in PECOS?

Yes, as of February 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. Hector Di Carlo MD?

Medicare beneficiaries should expect a typical cost of $94.64 with an average copayment of $23.66 for new patient appointments. Established patients should expect a typical charge of $108.36 and an average copayment of 27.09. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Hector Di Carlo MD?

The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Routine ekg using at least 12 leads including interpretation and report and Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem.

What is Dr. Hector Di Carlo MD CLIA number?

The provider's CLIA number is 10D2101376 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

Is Dr. Hector Di Carlo MD affiliated to any hospitals?

The practitioner is affiliated to the following hospital(s): BROWARD HEALTH MEDICAL CENTER, HOLY CROSS HOSPITAL and BROWARD HEALTH IMPERIAL POINT. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

This NPI record was last updated on August 18, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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