Carlos Giron, M.D.
NPI 1053392068 · Interventional Pain Medicine Physician · Macon, GA
Enrolled with Medicare as Practitioner - Interventional Pain Management · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carlos Giron, M.D. is a Interventional Pain Medicine Physician provider in Macon, GA (NPI 1053392068).
Provider details
- NPI number
- 1053392068
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 041564 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
5,528 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Complex Chronic Care Management Services for Two Or More Chronic Conditions, Each Additional 60 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99489 | 1,866 | $66 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, Each Additional 20 Minutes99458 | 789 | $36 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 455 | $118 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 317 | $83 |
| Care Management Services for Behavioral Health Conditions, 20 Minutes Or More Clinical Staff Time Directed By Health Care Professional99484 | 264 | $43 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 1,268 | 264 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 929 | 167 |
| Oxycodone Hcl | 741 | 138 |
| Gabapentin | 412 | 118 |
| Tizanidine Hcl | 190 | 60 |
| Pregabalin | 138 | 40 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,356 across 16 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-07
- Last updated
- 2010-08-09
Frequently asked questions
- What is Carlos Giron's NPI number?
- Carlos Giron's National Provider Identifier (NPI) is 1053392068, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carlos Giron's specialty?
- Carlos Giron is listed in the NPPES registry with a primary specialty of Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carlos Giron located?
- Carlos Giron's practice location on file with NPPES is 3356 Vineville Ave, Macon, GA 31204-2328.
- What is Carlos Giron's phone number?
- The practice phone number listed in the NPPES registry for Carlos Giron is (478) 476-9886.
- Does Carlos Giron accept Medicare?
- Carlos Giron is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carlos Giron's NPI active?
- Yes — Carlos Giron's NPI (1053392068) is active in the NPPES registry as of the last update on 2010-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.