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DR. CARLOS A RICOTTI MD
NPI 1497956569
Dermatology - Dermatopathology in Miami, FL

Active since May 29, 2007PECOS EnrolledCLIA 10D2259091 · Certificate of Compliance
1070 NE 87TH ST, MIAMI, FL 33138(305) 527-1884 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2026, May 5, 2025, Jul 19, 2024 and 5 more (8 updates tracked since 2017).

About Dr. Carlos A Ricotti Md NPPES

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

DR. CARLOS A RICOTTI MD (NPI 1497956569) is an individual dermatopathology provider in Miami, Florida, licensed in Florida (ME106515) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through January 3, 2027, and maintains 15 additional practice locations.

NPPES Registry Identity

NPI1497956569
Entity TypeIndividualMale
Primary Taxonomy207ND0900X
Provider Legal NameDR. CARLOS A RICOTTICredential: MD
Location Address1070 NE 87TH STMiami, FL 33138
Mailing Address8700 W Flagler St Ste 100Miami, FL 33174-2535 · (305) 267-7979 · Fax (786) 513-0175
Phone(305) 527-1884
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 29, 2007
Last NPPES UpdateAugust 7, 20268 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1497956569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
Licenses✔ Licensed in FL · ME106515✔ Licensed in AZ · 59565✔ Licensed in NC · 2020-04673✔ Licensed in TX · N0402
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Also ListedDermatologyTaxonomy 207N00000X · License ME106515 (FL)
1070 NE 87TH ST, Miami, FL 33138
Open in Google Maps ↗

Secondary Practice Locations 15

Location 116250 NW 59th Ave Ste 201Miami Lakes, FL 33014-7542 · Phone (305) 825-4422 · Fax (305) 779-5387
Location 210240 W Indian School Rd Ste 115Phoenix, AZ 85037-5905 · Phone (623) 243-9077
Location 31111 W Kenyon Rd Ste CUrbana, IL 61801-1006 · Phone (217) 888-2350
Location 48700 W Flagler St Ste 100Miami, FL 33174-2535 · Phone (305) 267-7979 · Fax (786) 513-0175
Location 52999 NE 191st St Ste 250Aventura, FL 33180-3115 · Phone (305) 933-1011
Location 62500 N Federal Hwy Ste 301Ft Lauderdale, FL 33305-1618 · Phone (954) 533-1520 · Fax (954) 368-5195
Location 71111 Lincoln Rd Ste 375Miami Beach, FL 33139-2407 · Phone (305) 397-8622 · Fax (305) 397-8422
Location 83275 Ponce De Leon BlvdCoral Gables, FL 33134-7251 · Phone (305) 461-2000 · Fax (786) 228-4035
Location 916100 NE 16th AveNorth Miami Beach, FL 33162-4708 · Phone (305) 652-8600 · Fax (305) 652-3139
Location 108700 W Flagler St Ste 105Miami, FL 33174-2428 · Phone (305) 380-9916
Location 112693 Forest Hills Rd SW Ste BWilson, NC 27893-8611 · Phone (252) 234-2841
Location 121822 N Main St Ste 302Fall River, MA 02720-1350 · Phone (508) 235-1118
Location 1314725 W Mountain View BlvdSurprise, AZ 85374-2704 · Phone (623) 243-9077
Location 14706 Green Valley Rd Ste 104Greensboro, NC 27408-7043 · Phone (336) 387-2500
Location 152222 E Highland Ave Ste 415Phoenix, AZ 85016-4880 · Phone (480) 275-2494

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID648322099
PECOS Enrollment IDI20100628000097, I20201112001138, I20240411004590
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

16

Medicare enrollment records show Carlos Ricotti reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marcy Alvarez, Do. PA
4.9 mi
Dermatology
1680 MICHIGAN AVENUE, SUITE 1016
Miami Beach, FL 33139
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1477850329 (305) 397-8622
Mark And Kambour MD PA
8.9 mi
Anatomic Pathology & Clinical Pathology
16250 NW 59TH AVE STE 201
Miami Lakes, FL 33014
  • Reassigned Medicare billing, Florida enrollment
  • 19 clinicians in this Medicare group
NPI 1760456172 (305) 825-4422
The Derm Group LLP
9.4 mi
Dermatology
3275 PONCE DE LEON BLVD
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida enrollment
  • 19 clinicians in this Medicare group
NPI 1801448519 (305) 461-2000
Ancillary Pathways, LLC
12 mi
Anatomic Pathology & Clinical Pathology
8700 W FLAGLER ST STE 100-B
Miami, FL 33174
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1942796057 (305) 267-7979
Clearly Derm, LLC
48 mi
Specialist
1760 N CONGRESS AVE, SUITE 200
Boynton Beach, FL 33426
  • Reassigned Medicare billing, Florida enrollment
  • 24 clinicians in this Medicare group
NPI 1487947008 (561) 739-9595
Adam S Plotkin MD PA
90 mi
Dermatology
3654 SW 30TH AVE
Palm City, FL 34990
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1407805021 (772) 210-7555
Romagosa Dermatology Group LLC
92 mi
Dermatology
2220 SE OCEAN BLVD, SUITE 301
Stuart, FL 34996
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1609863398 (772) 220-3339
Bayshore Pathology Consultants PA
145 mi
Anatomic Pathology & Clinical Pathology
18338 MURDOCK CIRCLE
Port Charlotte, FL 33948
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1700217460 (941) 313-9009
Health First Medical Group, LLC
157 mi
General Practice
1223 GATEWAY DR
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 773 clinicians in this Medicare group
NPI 1750626495 (321) 434-5055
Emily F Arsenault MD PA
176 mi
Dermatology
8374 MARKET ST, # 402
Lakewood Ranch, FL 34202
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1851587794 (941) 907-0222

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2259091

Carlos Ricotti PA · Miami, FL
Active · expires Jan 3, 2027
CLIA Number10D2259091
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorCarlos Ricotti
Laboratory Phone(305) 527-1884
Laboratory LocationCarlos Ricotti PA8700 West Flagler Street Ste 105B, Miami, FL 33174
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 6

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
19,067 services9,815 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
770 services435 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
562 services446 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
551 services477 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
518 services447 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33138 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%858 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
87%673 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
49%353 patients3/55-star benchmark: 95%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
71%21 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
85%429 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%673 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
96%192 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Ricotti's NPI number?

The NPI number for Carlos Ricotti is 1497956569. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Carlos Ricotti located?

Carlos Ricotti practices at 1070 NE 87th St, Miami, FL 33138. The listed phone number is (305) 527-1884.

What is Carlos Ricotti's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Carlos Ricotti enrolled in Medicare?

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

Which organizations bill Medicare for Carlos Ricotti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Ricotti reassigns Medicare benefits to 16 organizations: Marcy Alvarez, Do. PA (Miami Beach, FL), Mark And Kambour MD PA (Miami Lakes, FL), The Derm Group LLP (Coral Gables, FL), Ancillary Pathways, LLC (Miami, FL), Clearly Derm, LLC (Boynton Beach, FL) and 11 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Ricotti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Carlos Ricotti hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2259091) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carlos Ricotti accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Carlos Ricotti 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.

When was this NPI record last updated?

The NPPES record for Carlos Ricotti was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.