Carlos Lavernia, M.D.
NPI 1255326179 · Adult Reconstructive Orthopaedic Surgery Physician · Miami, FL
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carlos Lavernia, M.D. is a Adult Reconstructive Orthopaedic Surgery Physician provider in Miami, FL (NPI 1255326179).
Provider details
- NPI number
- 1255326179
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G058296 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
908 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) |
|---|---|---|
| X-Ray of Knee, 4 Or More Views73564 | 361 | $48 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 124 | $134 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 69 | $95 |
| X-Ray of Hip, 2-3 Views73502 | 64 | $48 |
| X-Ray of Both Hips, Minimum of 5 Views73523 | 57 | $64 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 54 | $71 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Celecoxib | 96 | 76 |
| Tramadol Hcl | 84 | 68 |
| Ondansetron Hcl | 82 | 74 |
| Oxycodone Hcl | 76 | 67 |
| Omeprazole | 76 | 71 |
| Lorazepam | 70 | 64 |
| Cefadroxil | 43 | 36 |
| Meloxicam |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$856,800 across 4 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
- 2005-09-16
- Last updated
- 2024-07-18
- Certified
- 2024-05-15
Frequently asked questions
- What is Carlos Lavernia's NPI number?
- Carlos Lavernia's National Provider Identifier (NPI) is 1255326179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carlos Lavernia's specialty?
- Carlos Lavernia is listed in the NPPES registry with a primary specialty of Adult Reconstructive Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Carlos Lavernia located?
- Carlos Lavernia's practice location on file with NPPES is 2600 Sw 3rd Ave Ste 600, Miami, FL 33129-2338.
- What is Carlos Lavernia's phone number?
- The practice phone number listed in the NPPES registry for Carlos Lavernia is (305) 484-9727.
- Does Carlos Lavernia accept Medicare?
- Carlos Lavernia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carlos Lavernia's NPI active?
- Yes — Carlos Lavernia's NPI (1255326179) is active in the NPPES registry as of the last update on 2024-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.