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

About DR. HECTOR L DI CARLO MD

Hector Di Carlo is a primary care provider established in Fort Lauderdale, Florida and his medical specialization is Family Medicine with more than 42 years of experience. The NPI number of this provider is 1356597785 and was 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 7 years ago.

NPI
1356597785
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
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1981
Is Sole Proprietor?No
Enumeration Date08-18-2008
Last Update Date11-13-2015

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 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.

Hector Di Carlo is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Broward Health Medical Center, Holy Cross Hospital, Broward Health Imperial Point, Memorial Regional Hospital and Broward Health North.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: pneumococcal vaccination status for older adults and preventive care and screening: body mass index (bmi) screening and follow-up plan. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

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.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207Q00000X
ClassificationFamily Medicine
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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

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

Business Address

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

Get Directions


Mailing Address

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


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID3971662560
PECOS Enrollment IDI20081112000041
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 33316 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$61.36 $187 $94.64
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.34 $46.75 $23.66
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.68 $151.65 $108.36
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.67 $37.91 $27.09

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

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 Utilization

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 Medicare specialty, excluding evaluation and management codes.

  • 101Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 58Physician 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 imple (HCPCS:G0180)
  • 28Physician re-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 im (HCPCS:G0179)

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 the NPI number 1356597785 is:

CLIA Number10D2101376
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

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

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 11 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
1497212476 VANNESSA MARIE HERNANDEZ MSN, APRN, FNP-BC
Individual
Nurse Practitioner (Family)500 SE 17TH ST
FT LAUDERDALE, FL 33316
(954) 533-1173
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, registered as an "individual" on August 18, 2008

Where is Dr. Hector Di Carlo MD located?

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

Which is Dr. Hector Di Carlo MD specialty?

The provider's speciality is Family Medicine

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

The provider has more than 42 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 March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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: Insertion of needle into vein for collection of blood sample, 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 imple and Physician re-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 im.

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..

How do I update my NPI information?

The NPI record of Dr. Hector Di Carlo MD 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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