OCTAVIO DE JESUS CARRENO (M.D) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1629039409
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
732 OTOLARYNGOLOGY in FL
Provider Addresses for OCTAVIO DE JESUS CARRENO (M.D)
2400 SW 69th Avenue
Suite 140
Miami, FL 331552947
Phone: (305) 450-1757
Fax: (305) 265-4844
Type: Location
Nicklaus Children's Hospital, 3100, Southwest 62nd Avenue, Miami-Dade County, Florida, 33155, United States
STE 124
MIAMI, FL 33155
Phone: (305) 662-8316
Fax: (305) 663-8513
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2004-05-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040513000835 | I | Otolaryngology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 40 | 21 | $0 |
| 69210 | Removal of impacted ear wax | 25 | 15 | $0 |
Insurance plans in this area (ZIP 33155)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pulmonary Disease | FL | |
| Family Practice | FL | |
| H O S P I T A L I S T | GA | |
| Pediatric Medicine | FL | |
| Internal Medicine | FL | |
| Cardiovascular Disease (Cardiology) | FL |
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