DR. ANDREW CARBONE MD
NPI 1396108460
Orthopaedic Surgery - Sports Medicine in Orlando, FL

Q: What is Andrew Carbone's NPI number?

The NPI number for Andrew Carbone is 1396108460. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Q: What is Andrew Carbone's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Carbone was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment

1900 N ALAFAYA TRL STE 900, ORLANDO, FL 32826(407) 380-8705(407) 643-2804 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2023, Jul 26, 2021 (2 updates tracked since 2021).

On this page

About Dr. Andrew Carbone Md NPPES

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

DR. ANDREW CARBONE MD (NPI 1396108460) is an individual sports medicine provider in Orlando, Florida, licensed in California (A171016) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396108460

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. ANDREW CARBONECredential: MD

Location Address1900 N ALAFAYA TRL STE 900Orlando, FL 32826-4737

Mailing Address1900 N Alafaya Trl Ste 900Orlando, FL 32826-4737 · (407) 380-8705 · Fax (407) 643-2804

Phone(407) 380-8705

Fax(407) 643-2804

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 5, 2016

Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration

NPPES CertifiedAugust 18, 2023

✔ NPI 1396108460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in CA · A171016

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1900 N ALAFAYA TRL STE 900, Orlando, FL 32826

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Secondary Practice Locations 2

Location 16801 Park Ter Ste 400Los Angeles, CA 90045-9212 · Phone (310) 665-7200

Location 2205 S Orange AveNewark, NJ 07103-2785 · Phone (973) 972-5350 · Fax (973) 972-9367

Other Identifiers 1

Medicaid118840300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew Carbone Md 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 ID6305182916

PECOS Enrollment IDI20230725002264

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.

Medicare Billing Reassignments

Medicare enrollment records show Andrew Carbone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orlando Health Medical Group Inc

11 mi

Internal Medicine

52 W UNDERWOOD ST
Orlando, FL 32806

Reassigned Medicare billing, Florida enrollment
3,290 clinicians in this Medicare group

NPI 1669429577 (321) 841-2452

American Hip Institute, LLC

1,000 mi

Sports Medicine

999 E TOUHY AVE, SUITE 450
Des Plaines, IL 60018

Reassigned Medicare billing, Illinois enrollment
29 clinicians in this Medicare group

NPI 1285101808 (630) 920-2317

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

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.

43 services43 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.

37 services37 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

34 services34 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.

32 services26 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.

30 services22 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

28 services25 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health

Acute Care Hospitals · Orlando, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100006

Location52 W Underwood StOrlando, FL 32806 · Orange County

Emergency services Birthing friendly

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.

HAMADI OLIVER AKIL MURPHY MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)