CARLOS HERIBERTO RUIZ MD
NPI 1508804766
Psychiatry & Neurology - Psychiatry in Orlando, FL

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
425 W COLONIAL DR STE 302, ORLANDO, FL 32804(407) 601-1370 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2023, Nov 14, 2019 (2 updates tracked since 2019).

About Carlos Heriberto Ruiz Md NPPES

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

CARLOS HERIBERTO RUIZ MD (NPI 1508804766) is an individual psychiatry provider in Orlando, Florida, licensed in Florida (ME80316) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1508804766
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameCARLOS HERIBERTO RUIZCredential: MD
Location Address425 W COLONIAL DR STE 302Orlando, FL 32804-6863
Mailing Address425 W Colonial Dr Ste 302Orlando, FL 32804-6863 · (407) 601-1370
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJune 2, 2006
Last NPPES UpdateApril 14, 20232 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
NPI 1508804766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in FL · ME80316
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
425 W COLONIAL DR STE 302, Orlando, FL 32804

Secondary Practice Location 1

Location 110129 Clear Vista StOrlando, FL 32832-7164 · Phone (833) 633-6331 · Fax (833) 673-0418

Other Identifiers 4

Other260049118Railroad Medicare
OtherQP199FL · Hfmg Ma
Medicaid261229100FL
Other03717FL · Bcbs

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

Carlos Heriberto Ruiz 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 ID5890899439
PECOS Enrollment IDI20100211000276
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
163 services102 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
146 services134 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
55 services14 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.
46 services13 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32804 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
Improvement Activities40

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%61 patients
Colorectal Cancer Screening
15%26 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
55%200 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
43%21 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 64 patients
0%64 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.

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Psychiatry)
425 W COLONIAL DR STE 302
ORLANDO, FL 32804
Psychiatry & Neurology (Geriatric Psychiatry)
425 W COLONIAL DR STE 302
ORLANDO, FL 32804
Family Medicine
425 W COLONIAL DR STE 302
ORLANDO, FL 32804

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 Ruiz's NPI number?

The NPI number for Carlos Ruiz is 1508804766. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Carlos Ruiz located?

Carlos Ruiz practices at 425 W Colonial Dr Ste 302, Orlando, FL 32804. The listed phone number is (407) 601-1370.

What is Carlos Ruiz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Carlos Ruiz enrolled in Medicare?

Yes. Carlos Ruiz 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 Carlos Ruiz accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and Wellpoint list Carlos Ruiz 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 Carlos Ruiz affiliated with any hospitals?

According to CMS data, Carlos Ruiz is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Carlos Ruiz was last updated on April 14, 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.