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

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: July 26, 2026.

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

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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and more.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 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.

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 3

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

Adventhealth Wauchula

Critical Access Hospitals · Wauchula, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101300
Location735 S 5th AveWauchula, FL 33873 · Hardee County
Emergency services

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.

What insurance does Carlos Garcia Prieto accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and Wellpoint 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, Adventhealth Sebring and Adventhealth Wauchula.

When was this NPI record last updated?

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