CARL BROPHY
NPI 1740713429
Family Medicine in Ocala, FL

Q: What is Carl Brophy's NPI number?

The NPI number for Carl Brophy is 1740713429. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Q: What is Carl Brophy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Brophy was last updated on October 17, 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.

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment

2553 E SILVER SPRINGS BLVD, OCALA, FL 34470(352) 732-6599 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 17, 2023, Jun 12, 2023, Nov 18, 2022 and 3 more (6 updates tracked since 2017).

On this page

About Carl Brophy NPPES

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

CARL BROPHY (NPI 1740713429) is an individual family medicine provider in Ocala, Florida, licensed in Florida (ME155867) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2017).

NPPES Registry Identity

NPI1740713429

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCARL BROPHY

Location Address2553 E SILVER SPRINGS BLVDOcala, FL 34470-7009

Mailing Address1025 Sw 1st AveOcala, FL 34471-0900 · (352) 732-6599

Phone(352) 732-6599

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2017

Enumeration DateApril 10, 2017

Last NPPES UpdateOctober 17, 20236 updates tracked since enumeration

NPPES CertifiedOctober 17, 2023

✔ NPI 1740713429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME155867

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2553 E SILVER SPRINGS BLVD, Ocala, FL 34470

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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 and accepts Medicare assignment

Carl Brophy 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 ID7315211794

PECOS Enrollment IDI20220712001661

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 Carl Brophy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heart Of Florida Health Center Inc

Same address

General Practice

2553 E SILVER SPRINGS BLVD
Ocala, FL 34470

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

NPI 1912301557 (352) 732-6599

Primary Care Providers Inc

2.0 mi

Family Medicine

635 SE 17TH ST
Ocala, FL 34471

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

NPI 1083989438 (352) 237-4877

Ocala Hospital Care Providers, PLLC

3.7 mi

Hospitalist

4801 SE 11TH AVE
Ocala, FL 34480

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

NPI 1497444939 (352) 816-1800

Inpatient Consultants Of Florida, Inc

71 mi

Internal Medicine

2001 KINGSLEY AVE
Orange Park, FL 32073

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

NPI 1396795597 (954) 377-2909

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 9

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.

1,194 services381 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

286 services266 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

173 services21 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

106 services72 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

90 services75 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.

70 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34470 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

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 20

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

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