CARLOS EMILIO GARCIA PRIETO MD
NPI 1689728800
Psychiatry & Neurology - Psychiatry in Sebring, FL

Q: What is Carlos Garcia Prieto's NPI number?

The NPI number for Carlos Garcia Prieto is 1689728800. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Q: What is Carlos Garcia Prieto's specialty?

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

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment

3750 EMERGENCY LN STE 4, SEBRING, FL 33870(863) 382-7792(863) 304-8589 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 29, 2020, Oct 25, 2018 (2 updates tracked since 2018).

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About Carlos Emilio Garcia Prieto Md NPPES

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

CARLOS EMILIO GARCIA PRIETO MD (NPI 1689728800) is an individual psychiatry provider in Sebring, Florida, licensed in Florida (111126) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Highlands Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1689728800

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameCARLOS EMILIO GARCIA PRIETOCredential: MD

Location Address3750 EMERGENCY LN STE 4Sebring, FL 33870-5500

Mailing Address3750 Emergency Ln Ste 4Sebring, FL 33870-5500 · (863) 382-7792 · Fax (863) 304-8589

Phone(863) 382-7792

Fax(863) 304-8589

Sole ProprietorYes

Medical School CMSOtherGraduated 1993

Enumeration DateJanuary 23, 2007

Last NPPES UpdateOctober 29, 20202 updates tracked since enumeration

NPPES CertifiedOctober 29, 2020

✔ NPI 1689728800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in FL · 111126✔ Licensed in WY · 6995A

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.

3750 EMERGENCY LN STE 4, Sebring, FL 33870

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) 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 and accepts Medicare assignment

Carlos Emilio Garcia Prieto 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 ID941299671

PECOS Enrollment IDI20111025000556

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 Carlos Garcia Prieto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Psychiatric Services Of Central Florida

Same address

Psychiatry

3750 EMERGENCY LN STE 4
Sebring, FL 33870

Reassigned Medicare billing, Florida enrollment

NPI 1639672298 (863) 382-7792

Winter Haven Hospital Inc

44 mi

Clinical Cardiac Electrophysiology

200 AVENUE F NE FL 2
Winter Haven, FL 33881

Reassigned Medicare billing, Florida enrollment
179 clinicians in this Medicare group

NPI 1780150524 (863) 293-1121

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

508 services104 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.

359 services95 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.

92 services55 patients

Psychotherapy with evaluation and management visit, 45 minutes 90836

Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.

78 services56 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

46 services46 patients

Psychotherapy with evaluation and management visit, 1 hour 90838

Psychotherapy with evaluation and management is a one-hour session where a mental health professional assesses your psychological state and discusses treatment options. This process aims to understand your feelings, thoughts, and behaviors to improve your overall well-being.

36 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Highlands Hospital

Acute Care Hospitals · Sebring, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100049

Location3600 S Highlands AveSebring, FL 33870 · Highlands County

Emergency services

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100109

Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33870 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.

Other Providers at the Same Location NPPES

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

ADVANCED PSYCHIATRIC SERVICES OF CENTRAL FLORIDA

Psychiatry & Neurology (Psychiatry)

3750 EMERGENCY LN STE 4
SEBRING, FL 33870

Highlands County (863) 382-7792

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 Garcia Prieto's NPI number?

The NPI number for Carlos Garcia Prieto is 1689728800. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Carlos Garcia Prieto located?

Carlos Garcia Prieto practices at 3750 Emergency Ln Ste 4, Sebring, FL 33870. The listed phone number is (863) 382-7792.

What is Carlos Garcia Prieto's specialty?

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

Is Carlos Garcia Prieto enrolled in Medicare?

Yes. Carlos Garcia Prieto 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.

Which organizations bill Medicare for Carlos Garcia Prieto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Garcia Prieto reassigns Medicare benefits to 2 organizations: Advanced Psychiatric Services Of Central Florida (Sebring, FL) and Winter Haven Hospital Inc (Winter Haven, FL). 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 Garcia Prieto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Garcia Prieto accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 2 other insurers list Carlos Garcia Prieto 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 Garcia Prieto affiliated with any hospitals?

According to CMS data, Carlos Garcia Prieto is affiliated with Hca Florida Highlands Hospital and Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for Carlos Garcia Prieto was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.