DR. JOSUE JORGE CARABALLO (M.D.) – General Practice Physician, NPI 1164488540

DR. JOSUE JORGE CARABALLO (M.D.) is a healthcare provider. based in Macclenny, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 15568 (PR). The NPI Number for DR. JOSUE JORGE CARABALLO (M.D.) is 1164488540

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSUE JORGE CARABALLO (M.D.)
NPI
1164488540
Phone
(904) 259-6291
Address
480 W LOWDER ST
Enumeration Date
25 April 2006
Last Update Date
12 March 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043302215
Graduation Year
2001 (25 years ago)
PAC ID
0446294649
Group Practice PAC ID
5092613570
Professional Enrollment ID
I20140328001891
Address ID
FL320635451MA7487XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

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Provider Addresses for DR. JOSUE JORGE CARABALLO (M.D.)

  • 480, West Lowder Street, Macclenny, Baker County, Florida, 32063, United States

    MACCLENNY, FL 320632664

    Phone: (904) 259-6291

    Fax: (904) 259-4761

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $387.

Total Amount is formed as General ($387) + Research ($0) + Ownership ($0) = $387.

Last reported payment date: 2023-03-22 • Largest payer in this snapshot: Inari Medical, Inc. ($387).

Total Amount

$387

General + Research + Ownership

Payments

2

Total payment records

General Amount

$387

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$387
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: 2014-03-28

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
I20140328001891IGeneral PracticeFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32063)

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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: 5092613570View full group profile
NameSpecialtyState
Nurse PractitionerFL
General PracticeFL
Nurse PractitionerFL
General PracticeFL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

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Frequently asked questions

Does DR. JOSUE JORGE CARABALLO (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOSUE JORGE CARABALLO (M.D.) uses 1164488540.
Is DR. JOSUE JORGE CARABALLO (M.D.) still practicing?
DR. JOSUE JORGE CARABALLO (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. JOSUE JORGE CARABALLO (M.D.)?
For research purposes, treat DR. JOSUE JORGE CARABALLO (M.D.) as General Practice Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JOSUE JORGE CARABALLO (M.D.) on a map?
Expect Macclenny, Florida as a primary anchor for DR. JOSUE JORGE CARABALLO (M.D.) unless the record lists multiple sites.
Is the information about DR. JOSUE JORGE CARABALLO (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."