DR. CARLOS A. CARRILLO (M.D.) – Surgery Physician, NPI 1104853951

DR. CARLOS A. CARRILLO (M.D.) is a healthcare provider. based in Sebring, Florida. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. ME66715 (FL). The NPI Number for DR. CARLOS A. CARRILLO (M.D.) is 1104853951

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARLOS A. CARRILLO (M.D.)
NPI
1104853951
Phone
(863) 386-6480
Address
4143 SUN N LAKE BLVD
Enumeration Date
27 June 2006
Last Update Date
4 November 2022

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8634653777
Graduation Year
1985 (41 years ago)
PAC ID
1557447448
Group Practice PAC ID
0749232445
Professional Enrollment ID
I20080318000287
Address ID
FL338527948LA1210XNXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,163 GENERAL SURGERY in FL

Provider Addresses for DR. CARLOS A. CARRILLO (M.D.)

  • 4143 SUN N LAKE BLVD

    SEBRING, FL 338722131

    Phone: (863) 386-6480

    Fax: (863) 386-6497

    Type: Mailing

  • Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States

    ROCKLEDGE, FL 329554306

    Phone: (321) 434-8777

    Type: Mailing

  • West Cocoa Beach Causeway, Cocoa Beach, Brevard County, Florida, 32931, United States

    COCOA BEACH, FL 329313585

    Phone: (321) 434-8777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $1,055.

Total Amount is formed as General ($1,055) + Research ($0) + Ownership ($0) = $1,055.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Organogenesis Inc. ($211).

Total Amount

$1,055

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,055

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080318000287IGeneral SurgeryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes752138$0
97597Removal of tissue from wound, 20.0 sq cm or less22785$0
99203New patient office or other outpatient visit, 30-44 minutes124124$0
11042Removal of skin and tissue, 20.0 sq cm or less7240$0
97598Removal of tissue from wound, each additional 20.0 sq cm5013$0
View full utilization report →

Insurance plans in this area (ZIP 33872)

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Provider's Procedures

DR. CARLOS A. CARRILLO (M.D.) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYFL11042Removal of skin and tissue first 20 sq cm or less9022

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749232445View full group profile
NameSpecialtyState
-FL
-FL
-FL
-FL
General SurgeryNJ
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineFL
Critical Care (Intensivists)FL
-FL
Nurse PractitionerFL
O T O L A R Y N G O L O G YFL

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Frequently asked questions

Can I verify DR. CARLOS A. CARRILLO (M.D.) with an NPI only?
You can start verification with NPI 1104853951 for DR. CARLOS A. CARRILLO (M.D.), then check state licensing separately.
Does CMS list DR. CARLOS A. CARRILLO (M.D.) as active?
Yes — DR. CARLOS A. CARRILLO (M.D.) is active in the NPI listing used on this page.
What is DR. CARLOS A. CARRILLO (M.D.)'s primary classification?
Surgery Physician is the headline specialty for DR. CARLOS A. CARRILLO (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. CARLOS A. CARRILLO (M.D.) based?
DR. CARLOS A. CARRILLO (M.D.) is tied to Sebring, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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