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ANDRES F. CARRION MONSALVE MD
NPI 1811158454
Internal Medicine - Gastroenterology in Homestead, FL

Active since June 17, 2008PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
434 WASHINGTON AVE, HOMESTEAD, FL 33030(786) 384-7101(786) 408-5991 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 2, 2023, Mar 8, 2018 (2 updates tracked since 2018).

About Andres F. Carrion Monsalve Md NPPES

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

ANDRES F. CARRION MONSALVE MD (NPI 1811158454) is an individual gastroenterology provider in Homestead, Florida, licensed in Florida (ME110104) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Kendall Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1811158454
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameANDRES F. CARRION MONSALVECredential: MD
Location Address434 WASHINGTON AVEHomestead, FL 33030
Mailing Address434 Washington AveHomestead, FL 33030 · (786) 384-7101 · Fax (786) 408-5991
Phone(786) 384-7101
Fax(786) 408-5991
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 17, 2008
Last NPPES UpdateNovember 2, 20232 updates tracked since enumeration
✔ NPI 1811158454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in FL · ME110104✔ Licensed in TX · Q3157
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License Q3157 (TX)
434 WASHINGTON AVE, Homestead, FL 33030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Cigna Healthcare 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

Andres F. Carrion Monsalve 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 ID941511695
PECOS Enrollment IDI20181204003920
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

2

Medicare enrollment records show Andres Carrion Monsalve reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Miami
17 mi
Internal Medicine
8932 SW 97TH AVE
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1912956566 (305) 243-7688
Gastromed, LLC
24 mi
Gastroenterology
5101 SW 8TH STREET, SUITE 200
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida enrollment
  • 67 clinicians in this Medicare group
NPI 1538491063 (305) 262-6060

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.
207 services54 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
36 services34 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.
19 services16 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.
17 services17 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.
15 services15 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.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100209
Location11750 Bird RdMiami, FL 33175 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33030 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Other Providers at the Same Location NPPES

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

HOMESTEAD ENDOSCOPY CENTER LLC
Clinic/Center (Ambulatory Surgical)
434 WASHINGTON AVE
HOMESTEAD, FL 33030
Miami-Dade County (305) 359-5037

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 Andres Carrion Monsalve's NPI number?

The NPI number for Andres Carrion Monsalve is 1811158454. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Andres Carrion Monsalve located?

Andres Carrion Monsalve practices at 434 Washington Ave, Homestead, FL 33030. The listed phone number is (786) 384-7101.

What is Andres Carrion Monsalve's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Andres Carrion Monsalve enrolled in Medicare?

Yes. Andres Carrion Monsalve 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 Andres Carrion Monsalve's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andres Carrion Monsalve reassigns Medicare benefits to 2 organizations: University Of Miami (Miami, FL) and Gastromed, LLC (Coral Gables, 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 Andres Carrion Monsalve's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andres Carrion Monsalve accept?

Health plans from AmeriHealth Caritas Next, AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Andres Carrion Monsalve 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 Andres Carrion Monsalve affiliated with any hospitals?

According to CMS data, Andres Carrion Monsalve is affiliated with Hca Florida Kendall Hospital.

When was this NPI record last updated?

The NPPES record for Andres Carrion Monsalve was last updated on November 2, 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.