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DYLAN JOSEPH CARMICHAEL DO
NPI 1679102941
Colon & Rectal Surgery in Port Saint Lucie, FL

Active since April 07, 2020PECOS Enrolled
900 SE BECKER RD, PORT SAINT LUCIE, FL 34984(772) 800-5110(772) 621-2935 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 2, 2026, Apr 7, 2020 (2 updates tracked since 2020).

About Dylan Joseph Carmichael Do NPPES

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

DYLAN JOSEPH CARMICHAEL DO (NPI 1679102941) is an individual colon & rectal surgery provider in Port Saint Lucie, Florida, licensed in Florida (OS23592) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Danville, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2020).

NPPES Registry Identity

NPI1679102941
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDYLAN JOSEPH CARMICHAELCredential: DO
Location Address900 SE BECKER RDPort Saint Lucie, FL 34984-6641
Mailing AddressPo Box 20800Belfast, ME 04915-4105 · (888) 402-7256 · Fax (888) 402-1099
Phone(772) 800-5110
Fax(772) 621-2935
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2020
Enumeration DateApril 7, 2020
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1679102941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in FL · OS23592
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
900 SE BECKER RD, Port Saint Lucie, FL 34984
Open in Google Maps ↗

Secondary Practice Location 1

Location 1Geisinger Medical Center 100 North Academy AvenueDanville, PA 17822-0001 · Phone (570) 271-6211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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)

Dylan Joseph Carmichael Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800219023
PECOS Enrollment IDI20260528000901
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 Reassignment

Medicare enrollment records show Dylan Carmichael reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tenet Florida Physician Services LLC
37 mi
Surgery
1411 N FLAGLER DR STE 8000
West Palm Beach, FL 33401
  • Reassigned Medicare billing, Florida enrollment
  • 528 clinicians in this Medicare group
NPI 1659417467 (561) 650-6231

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34984 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES

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

DR. GUSTAVO LOPES D.O.
Surgery
900 SE BECKER RD
PORT SAINT LUCIE, FL 34984
St. Lucie County (772) 255-7550

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 Dylan Carmichael's NPI number?

The NPI number for Dylan Carmichael is 1679102941. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Dylan Carmichael located?

Dylan Carmichael practices at 900 SE Becker Rd, Port Saint Lucie, FL 34984. The listed phone number is (772) 800-5110.

What is Dylan Carmichael's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Dylan Carmichael enrolled in Medicare?

Yes. Dylan Carmichael is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dylan Carmichael's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Carmichael reassigns Medicare benefits to Tenet Florida Physician Services LLC (West Palm Beach, FL). The 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 Dylan Carmichael's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dylan Carmichael accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Dylan Carmichael 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 Dylan Carmichael was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.