CARL DRUCKER M.D.
NPI 1861492589
Otolaryngology in Aventura, FL

Q: What is Carl Drucker's NPI number?

The NPI number for Carl Drucker is 1861492589. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Q: What is Carl Drucker's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Drucker was last updated on September 21, 2022. 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 July 22, 2005PECOS EnrolledAccepts Medicare Assignment

87.59/100

CMS Quality Rating

21150 BISCAYNE BLVD, #102, AVENTURA, FL 33180(305) 935-6000(305) 935-6248 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2022, Nov 27, 2019 (2 updates tracked since 2019).

On this page

About Carl Drucker M.d. NPPES

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

CARL DRUCKER M.D. (NPI 1861492589) is an individual otolaryngology provider in Aventura, Florida, licensed in Florida (ME59537) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Aventura Hospital, and is a graduate of Medical College Of Pennsylvania (1985).

NPPES Registry Identity

NPI1861492589

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameCARL DRUCKERCredential: M.D.

Location Address21150 BISCAYNE BLVD, #102Aventura, FL 33180-1226

Mailing Address15280 Nw 79th Ct Ste 200Miami Lakes, FL 33016-5873 · (305) 558-3724 · Fax (786) 907-4485

Phone(305) 935-6000

Fax(305) 935-6248

Sole ProprietorNo

Medical School CMSMedical College Of PennsylvaniaGraduated 1985

Enumeration DateJuly 22, 2005

Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2022

✔ NPI 1861492589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in FL · ME59537

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

21150 BISCAYNE BLVD, Aventura, FL 33180

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Other Identifiers 1

Medicaid256406800FL

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carl Drucker M.d. 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 ID1456427988

PECOS Enrollment IDI20100901001010

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 11

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

506 services348 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

301 services281 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

298 services280 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

193 services133 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.

189 services156 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

121 services93 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.

109 services109 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.

62 services62 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

51 services35 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

51 services50 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

22 services22 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100131

Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33180 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

$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.

87.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.34

Promoting Interoperability

Improvement Activities

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.

DR. JANET CAROL TELTSCHER MD

Dermatology

21150 BISCAYNE BLVD, STE 102
AVENTURA, FL 33180

Miami-Dade County (305) 933-3395

DR. JOHN S HOYES M.D.

General Practice

21150 BISCAYNE BLVD, SUITE 306
MIAMI, FL 33180

Miami-Dade County (305) 933-4747

JUAN PREMOLI M.D.

Urology

21150 BISCAYNE BLVD, 404
AVENTURA, FL 33180

Miami-Dade County (305) 466-9111

DR. BARRY JAY MARK M.D.

Allergy & Immunology

21150 BISCAYNE BLVD, SUITE 408
AVENTURA, FL 33180

Miami-Dade County (305) 932-3252

QUALITY SURGICAL MANAGEMENT ACUTE AND LONG TERM CARE INC

Surgery

21150 BISCAYNE BLVD, 400
AVENTURA, FL 33180

Miami-Dade County (305) 466-9988

ADVANCED MEDICAL CARE ASSOCIATES, P.A.

Health Maintenance Organization

21150 BISCAYNE BLVD, 106
AVENTURA, FL 33180

Miami-Dade County (305) 932-9111

HAL JAY RICHMAN DDS

Dentist (Oral and Maxillofacial Pathology)

21150 BISCAYNE BLVD, SUITE 401
AVENTURA, FL 33180

Miami-Dade County (305) 931-4284

MARK H. CHRIST M.D.

Urology

21150 BISCAYNE BLVD, 404
AVENTURA, FL 33180

Miami-Dade County (305) 466-9111

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 Carl Drucker's NPI number?

The NPI number for Carl Drucker is 1861492589. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Carl Drucker located?

Carl Drucker practices at 21150 Biscayne Blvd #102, Aventura, FL 33180. The listed phone number is (305) 935-6000.

What is Carl Drucker's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Carl Drucker enrolled in Medicare?

Yes. Carl Drucker 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 Carl Drucker accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Carl Drucker 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 Carl Drucker affiliated with any hospitals?

According to CMS data, Carl Drucker is affiliated with Hca Florida Aventura Hospital.

When was this NPI record last updated?

The NPPES record for Carl Drucker was last updated on September 21, 2022. 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.