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CAROLINA MEJIA OTERO M.D
NPI 1982035861
Internal Medicine - Rheumatology in Clermont, FL

Active since December 03, 2013PECOS EnrolledAccepts Medicare Assignment
3721 S HWY 27 STE B, CLERMONT, FL 34711(352) 995-9518(352) 995-9519 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 20, 2025, Apr 16, 2024, Mar 9, 2022 and 1 more (4 updates tracked since 2016).

About Carolina Mejia Otero M.d NPPES

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

CAROLINA MEJIA OTERO M.D (NPI 1982035861) is an individual rheumatology provider in Clermont, Florida, licensed in Florida (ME126877) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1982035861
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameCAROLINA MEJIA OTEROCredential: M.D
Location Address3721 S HWY 27 STE BClermont, FL 34711-7919
Mailing Address3721 S Hwy 27 Ste BClermont, FL 34711-7919 · (352) 995-9518 · Fax (352) 995-9519
Phone(352) 995-9518
Fax(352) 995-9519
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 3, 2013
Last NPPES UpdateJune 20, 20254 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1982035861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · ME126877
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME126877 (FL)
3721 S HWY 27 STE B, Clermont, FL 34711
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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

Carolina Mejia Otero 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 ID1456644715
PECOS Enrollment IDI20160725000167
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

6

Medicare enrollment records show Carolina Mejia Otero reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osteoporosis And Arthritis Advanced Care LLC
Same address
Rheumatology
3721 S HWY 27 STE B
Clermont, FL 34711
  • Reassigned Medicare billing, Florida enrollment
NPI 1063280147 (352) 995-9518
Vita Rehab Medical Center LLC
25 mi
Chiropractor
111 E MONUMENT AVE UNIT 604
Kissimmee, FL 34741
  • Reassigned Medicare billing, Florida enrollment
NPI 1528876224 (407) 910-4150
Dreams Mental Health Inc
199 mi
Psychiatry
15935 NW 57TH AVE
Miami Lakes, FL 33014
  • Reassigned Medicare billing, Florida enrollment
  • 14 clinicians in this Medicare group
NPI 1700474277 (786) 801-7577
Orange Doctors Group LLC
209 mi
Multi-Specialty
5200 SW 8TH ST STE 150
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida enrollment
NPI 1043092539 (305) 250-5600
Carlos A. Sesin, MD, PA
210 mi
Rheumatology
4302 ALTON RD, SUITE 550
Miami Beach, FL 33140
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1639364144 (305) 531-6766
Yjw Excellent Care LLC
213 mi
Community/Behavioral Health
13205 SW 137TH AVE STE 126
Miami, FL 33186
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1811586837 (786) 713-0383

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

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.

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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34711 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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 4

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

OSTEOPOROSIS AND ARTHRITIS ADVANCED CARE LLC
Internal Medicine (Rheumatology)
3721 S HWY 27 STE B
CLERMONT, FL 34711
Lake County (352) 995-9518
BRANDON FORD BILLINGSLEY DC
Chiropractor
3721 S HWY 27 STE B
CLERMONT, FL 34711
Lake County (352) 394-4615
IN-HOME THERAPY OF CENTRAL FLORIDA INC
Clinic/Center (Physical Therapy)
3721 S HWY 27 STE B
CLERMONT, FL 34711
Lake County (352) 255-6130
SOUTH LAKE ARTHRITIS AND RHEUMATOLOGY, LLC
Internal Medicine (Rheumatology)
3721 S HWY 27 STE B
CLERMONT, FL 34711
Lake County (407) 900-0191

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 Carolina Mejia Otero's NPI number?

The NPI number for Carolina Mejia Otero is 1982035861. It was assigned to this individual provider in the NPPES registry on December 3, 2013.

Where is Carolina Mejia Otero located?

Carolina Mejia Otero practices at 3721 S Hwy 27 Ste B, Clermont, FL 34711. The listed phone number is (352) 995-9518.

What is Carolina Mejia Otero's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Carolina Mejia Otero enrolled in Medicare?

Yes. Carolina Mejia Otero 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 Carolina Mejia Otero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolina Mejia Otero reassigns Medicare benefits to 6 organizations: Osteoporosis And Arthritis Advanced Care LLC (Clermont, FL), Vita Rehab Medical Center LLC (Kissimmee, FL), Dreams Mental Health Inc (Miami Lakes, FL), Orange Doctors Group LLC (Coral Gables, FL), Carlos A. Sesin, MD, PA (Miami Beach, FL) and 1 more organization, listed in the Medicare section above. 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 Carolina Mejia Otero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolina Mejia Otero accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Carolina Mejia Otero 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 Carolina Mejia Otero affiliated with any hospitals?

According to CMS data, Carolina Mejia Otero is affiliated with Adventhealth Orlando and Orlando Health South Lake Hospital.

When was this NPI record last updated?

The NPPES record for Carolina Mejia Otero was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.