DR. ESTRELLA M CARBALLIDO (M.D.) – Hematology & Oncology Physician, NPI 1245425313
Hematology & Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. ESTRELLA M CARBALLIDO (M.D.)
Veronica S Shoemaker Blvd, Fort Myers, Lee County, Florida, 33916, United States
ATTN: CREDENTIALING DEPT
FORT MYERS, FL 339162216
Phone: (239) 274-8200
Type: Mailing
Overtime Pizzeria & Sports Pub, 1708, Cape Coral Parkway West, Cape Coral, Lee County, Florida, 33914, United States
SUITE 10
CAPE CORAL, FL 339146985
Phone: (239) 541-4633
Fax: (239) 541-1825
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $49.
Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.
Last reported payment date: 2023-03-21 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($49).
Total Amount
$49
General + Research + Ownership
Payments
1
Total payment records
General Amount
$49
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $49 |
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: 2011-10-03
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111003000739 | I | Hematology/Oncology | FL | TBD |
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.
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 33916)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| HEMATOLOGY/ONCOLOGY | FL | 74177 | CT scan of abdomen and pelvis with contrast | 25 | 25 |
| HEMATOLOGY/ONCOLOGY | FL | 81002 | Urinalysis, manual test | 34 | 25 |
| HEMATOLOGY/ONCOLOGY | FL | 85610 | Blood test, clotting time | 30 | 23 |
| HEMATOLOGY/ONCOLOGY | FL | 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 141 | 97 |
| HEMATOLOGY/ONCOLOGY | FL | 96415 | Infusion of chemotherapy into a vein | 93 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| - | FL | |
| - | FL | |
| - | FL |
Reviews
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