Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

HIRAM CARRASQUILLO M.D.
NPI 1376547059
Orthopaedic Surgery - Foot and Ankle Surgery in Jacksonville, FL

Active since June 09, 2005PECOS Enrolled
99.15/100
CMS Quality Rating
5191 FIRST COAST TECH PKWY, JACKSONVILLE, FL 32224(904) 675-4000(904) 675-4007 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2026, Mar 25, 2021, Nov 16, 2020 and 1 more (4 updates tracked since 2015).

About Hiram Carrasquillo M.d. NPPES

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

HIRAM CARRASQUILLO M.D. (NPI 1376547059) is an individual foot and ankle surgery provider in Jacksonville, Florida, licensed in Florida (ME67033) 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 University Of Puerto Rico School Of Medicine (1987).

NPPES Registry Identity

NPI1376547059
Entity TypeIndividualMale
Primary Taxonomy207XX0004X
Provider Legal NameHIRAM CARRASQUILLOCredential: M.D.
Location Address5191 FIRST COAST TECH PKWYJacksonville, FL 32224-0609
Mailing Address14534 Old Saint Augustine Rd Ste 3210Jacksonville, FL 32258-2645 · (904) 675-4000 · Fax (904) 675-4007
Fax(904) 675-4007
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1987
Enumeration DateJune 9, 2005
Last NPPES UpdateJuly 20, 20264 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
NPI 1376547059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License Licensed in FL · ME67033
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License ME67033 (FL)
5191 FIRST COAST TECH PKWY, Jacksonville, FL 32224

Other Identifiers 1

Medicaid376097900FL

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

Hiram Carrasquillo 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 ID5698788685
PECOS Enrollment IDI20060714000243
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 11

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
461 services278 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.
334 services224 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
253 services166 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.
189 services160 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
100 services100 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
89 services89 patients

Hospital Affiliations CMS Care Compare

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

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 7

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers31 claims31 services$19.80 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
4 suppliers31 claims31 services$8.48 avg. paid by Medicare
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier21 claims21 services$61.89 avg. paid by Medicare
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L1960
DME-Orthotic Devices · category DF003N
4 suppliers12 claims12 services$402.91 avg. paid by Medicare
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined L2275
DME-Orthotic Devices · category DF000N
3 suppliers11 claims11 services$94.36 avg. paid by Medicare
Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only L2755
DME-Orthotic Devices · category DF000N
2 suppliers12 claims13 services$102.63 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 11

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

Clinic/Center (Ambulatory Surgical)
5191 FIRST COAST TECH PKWY, 1ST FLOOR
JACKSONVILLE, FL 32224
Pain Medicine (Interventional Pain Medicine)
5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224
Pain Medicine (Interventional Pain Medicine)
5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224
Physician Assistant
5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224
Physician Assistant
5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224
Physician Assistant
5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224
Nurse Practitioner (Family)
5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224
Physician Assistant
5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224

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 Hiram Carrasquillo's NPI number?

The NPI number for Hiram Carrasquillo is 1376547059. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Hiram Carrasquillo located?

Hiram Carrasquillo practices at 5191 First Coast Tech Pkwy, Jacksonville, FL 32224. The listed phone number is (904) 675-4000.

What is Hiram Carrasquillo's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is Hiram Carrasquillo enrolled in Medicare?

Yes. Hiram Carrasquillo 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 Hiram Carrasquillo accept?

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

According to CMS data, Hiram Carrasquillo is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Hiram Carrasquillo was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.