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DR. CARLOS LORENZO DELGADO MD
NPI 1922065218
General Practice in Hialeah, FL

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
1957 WEST 60 STREET, HIALEAH, FL 33012(305) 825-8170(305) 825-8177 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carlos Lorenzo Delgado Md NPPES

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

DR. CARLOS LORENZO DELGADO MD (NPI 1922065218) is an individual general practice provider in Hialeah, Florida, licensed in Florida (ME65801) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1972).

NPPES Registry Identity

NPI1922065218
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. CARLOS LORENZO DELGADOCredential: MD
Location Address1957 WEST 60 STREETHialeah, FL 33012
Mailing Address1957 West 60 StreetHialeah, FL 33012 · (305) 825-8170 · Fax (305) 825-8177
Phone(305) 825-8170
Fax(305) 825-8177
Sole ProprietorYes
Medical School CMSOtherGraduated 1972
Enumeration DateApril 28, 2006
Last NPPES UpdateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1922065218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME65801
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1957 WEST 60 STREET, Hialeah, FL 33012
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Other Names 1

Professional Name (2)Carlos Delgado Md Pa

Other Identifiers 1

Medicaid374846400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next 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

Dr. Carlos Lorenzo Delgado 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 ID8426029653
PECOS Enrollment IDI20040803000228
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 4

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.
205 services48 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.
166 services63 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 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.
26 services15 patients

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
84%772 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
61%210 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers54 claims119 services$6.48 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers30 claims30 services$2.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers44 claims51 services$1.14 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers21 claims21 services$11.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Carlos Delgado's NPI number?

The NPI number for Carlos Delgado is 1922065218. It was assigned to this individual provider in the NPPES registry on April 28, 2006. The provider is also known as Carlos Delgado MD PA.

Where is Carlos Delgado located?

Carlos Delgado practices at 1957 West 60 Street, Hialeah, FL 33012. The listed phone number is (305) 825-8170.

What is Carlos Delgado's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Carlos Delgado enrolled in Medicare?

Yes. Carlos Delgado 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 Carlos Delgado accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Carlos Delgado 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 Carlos Delgado was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.