DR. LUIS MARCELO CARCACHE MD
NPI 1881866796
Psychiatry & Neurology - Psychiatry in Hialeah, FL

Active since March 31, 2008PECOS EnrolledAccepts Medicare Assignment
74.49/100
CMS Quality Rating
4175 W 20TH AVE, HIALEAH, FL 33012(305) 424-0300 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2025, Jul 21, 2022, Aug 3, 2017 (3 updates tracked since 2017).

About Dr. Luis Marcelo Carcache Md NPPES

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

DR. LUIS MARCELO CARCACHE MD (NPI 1881866796) is an individual psychiatry provider in Hialeah, Florida, licensed in Florida (ME110603) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2008).

NPPES Registry Identity

NPI1881866796
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. LUIS MARCELO CARCACHECredential: MD
Location Address4175 W 20TH AVEHialeah, FL 33012-5874
Mailing Address3300 Sw 192nd AveMiramar, FL 33029-5822 · (305) 310-4312
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2008
Enumeration DateMarch 31, 2008
Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
NPI 1881866796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in FL · ME110603
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.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License ME110603 (FL)
4175 W 20TH AVE, Hialeah, FL 33012

Other Identifiers 1

Medicaid008601600FL

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

Dr. Luis Marcelo Carcache 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 ID1557502655
PECOS Enrollment IDI20130801000696
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 3

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.
172 services70 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.
64 services39 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
59 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33012 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
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
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.

74.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.76
Improvement Activities40
Cost24.07

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.

Psychologist
4175 W 20TH AVE
HIALEAH, FL 33012
Counselor (Mental Health)
4175 W 20TH AVE
HIALEAH, FL 33012
Counselor (Mental Health)
4175 W 20TH AVE
HIALEAH, FL 33012
Social Worker (Clinical)
4175 W 20TH AVE
HIALEAH, FL 33012
Student in an Organized Health Care Education/Training Program
4175 W 20TH AVE
HIALEAH, FL 33012
Nurse Practitioner (Primary Care)
4175 W 20TH AVE
HIALEAH, FL 33012
Psychiatry & Neurology (Psychiatry)
4175 W 20TH AVE
HIALEAH, FL 33012
Psychiatry & Neurology (Psychiatry)
4175 W 20TH AVE
HIALEAH, FL 33012

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 Luis Carcache's NPI number?

The NPI number for Luis Carcache is 1881866796. It was assigned to this individual provider in the NPPES registry on March 31, 2008.

Where is Luis Carcache located?

Luis Carcache practices at 4175 W 20th Ave, Hialeah, FL 33012. The listed phone number is (305) 424-0300.

What is Luis Carcache's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Luis Carcache enrolled in Medicare?

Yes. Luis Carcache 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 Luis Carcache accept?

Health plans from AmeriHealth Caritas Next, Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Luis Carcache 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.

When was this NPI record last updated?

The NPPES record for Luis Carcache was last updated on November 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.