DANIEL G KALBAC MD
NPI 1699870634
Orthopaedic Surgery in South Miami, FL

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
6701 SUNSET DR, SUITE 201, SOUTH MIAMI, FL 33143(305) 661-7601(305) 661-0154 Get Directions Write a Review

NPPES record last updated: October 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel G Kalbac Md NPPES

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

DANIEL G KALBAC MD (NPI 1699870634) is an individual orthopaedic surgery provider in South Miami, Florida, licensed in Florida (ME58988) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with South Miami Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1986).

NPPES Registry Identity

NPI1699870634
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDANIEL G KALBACCredential: MD
Location Address6701 SUNSET DR, SUITE 201South Miami, FL 33143-4529
Mailing AddressPo Box 430430South Miami, FL 33243-0430 · (305) 661-7601 · Fax (305) 661-0154
Fax(305) 661-0154
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1986
Enumeration DateSeptember 14, 2006
Last NPPES UpdateOctober 31, 2013
NPI 1699870634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in FL · ME58988
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License ME58988 (FL)
6701 SUNSET DR, South Miami, FL 33143

Other Identifiers 10

Other000623FL · Neighborhood Health Plan
Other209485FL · Avmed Health Plan
Other4517471FL · Aetna
Medicare UPINF11594FL
OtherME58988FL · Workers Compensation
Medicare ID-Type Unspecified17697YFL · Medicare
Medicare PIN17697FL
Other1237594FL · United Healthcare
Other591370925FL · Cigna
Other17697FL · Blue Shield

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

Daniel G Kalbac 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 ID2769475102
PECOS Enrollment IDI20120628000361
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 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.

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.
141 services97 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
114 services85 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
72 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
65 services65 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
38 services37 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33143 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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier72 claims17,623 services$20.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Non-Pharmacy Dispensing Site
6701 SUNSET DR, SUITE 201
SOUTH MIAMI, FL 33143
Podiatrist
6701 SUNSET DR, SUITE 108
SOUTH MIAMI, FL 33143
Podiatrist
6701 SUNSET DR, STE 108
MIAMI, FL 33143
Durable Medical Equipment & Medical Supplies
6701 SUNSET DR, SUITE 111
SOUTH MIAMI, FL 33143
Specialist
6701 SUNSET DR, SUITE 101
SOUTH MIAMI, FL 33143
Physician Assistant
6701 SUNSET DR, SUITE 201
SOUTH MIAMI, FL 33143
Dentist (General Practice)
6701 SUNSET DR, 114
SOUTH MIAMI, FL 33143
Dentist
6701 SUNSET DR, 114
SOUTH MIAMI, FL 33143

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 Daniel Kalbac's NPI number?

The NPI number for Daniel Kalbac is 1699870634. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Daniel Kalbac located?

Daniel Kalbac practices at 6701 Sunset Dr Suite 201, South Miami, FL 33143. The listed phone number is (305) 661-7601.

What is Daniel Kalbac's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Daniel Kalbac enrolled in Medicare?

Yes. Daniel Kalbac 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 Daniel Kalbac accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Daniel Kalbac 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 Daniel Kalbac affiliated with any hospitals?

According to CMS data, Daniel Kalbac is affiliated with South Miami Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Kalbac was last updated on October 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.