RONALDO CARNEIRO M.D
NPI 1528018694
Plastic Surgery - Surgery of the Hand in Naples, FL
Quality Rating: 90.85 out of 100 score
NPI Status: Active since May 11, 2006
Contact Information
8340 COLLIER BLVD
SUITE 303
NAPLES, FL
ZIP 34114
Phone: (239) 348-4040
Fax: (239) 354-6440
- Individual
- Male
- Plastic Surgery
- Surgery of the Hand
- PECOS Enrolled
- Medicare Quality Reporting
About RONALDO CARNEIRO
This page provides the complete NPI Profile along with additional information for Ronaldo Carneiro, a provider established in Naples, Florida with a medical specialization in Plastic Surgery, focusing in surgery of the hand . The healthcare provider is registered in the NPI registry with number 1528018694 assigned on May 2006. The practitioner's primary taxonomy code is 2082S0105X with license number FLME0049970 (FL). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1528018694
- Provider Name
- RONALDO CARNEIRO M.D
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8340 COLLIER BLVD SUITE 303 NAPLES, FL 34114
- Location Phone
- (239) 348-4040
- Location Fax
- (239) 354-6440
- Mailing Address
- PO BOX 277575 ATLANTA, GA 30384
- Mailing Phone
- (239) 348-4000
- Mailing Fax
- (239) 354-6440
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-11-2006
- Last Update Date
- 09-10-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery Surgery of the Hand
- Taxonomy Code
- 2082S0105X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- FLME0049970
- License State
- FL
- Taxonomy Description
- A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
045803100 | MEDICAID (05) | FL |
Medicare Participation & PECOS Enrollment Status
Ronaldo Carneiro is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Incision of tendon covering of finger
Injection into tendon or ligament
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
New patient office or other outpatient visit, 15-29 minutes
New patient office or other outpatient visit, 30-44 minutes
Release and/or relocation of hand nerve
Relocation of tendon of forearm and/or wrist
Removal of bone joints between wrist and fingers
Removal of growth of tendon finger or hand
X-ray of hand, 2 views
X-ray of hand, minimum of 3 views
X-ray of wrist, 2 views
X-ray of wrist, minimum of 3 views
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 143 times for 122 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 17 times for 17 patientsThis procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
This service was performed 40 times for 36 patientsAn injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
This service was performed 97 times for 89 patientsTriamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
This service was performed 119 times for 96 patientsThis service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
This service was performed 29 times for 29 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 166 times for 166 patientsThis procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
This service was performed 39 times for 36 patientsRelocation of a tendon in the forearm or wrist is a surgical procedure aimed to improve joint function. It involves moving a tendon from its original position to a new one to enhance mobility or correct a deformity. It's typically done under general anesthesia.
This service was performed 11 times for 11 patientsThis procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.
This service was performed 12 times for 12 patientsThis procedure involves the surgical removal of abnormal growths on tendons in the finger or hand. These growths can cause discomfort or restrict movement. The process aims to alleviate pain and restore function to the affected area. It's done under anesthesia.
This service was performed 13 times for 13 patientsAn X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.
This service was performed 56 times for 49 patientsAn X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
This service was performed 18 times for 17 patientsAn X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.
This service was performed 33 times for 28 patientsAn X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
This service was performed 15 times for 12 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 34114 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $91.69
- Minimum New Patient Price $58.56
- Maximum New Patient Price $179.05
- Average New Patient Copayment $22.92
- Minimum New Patient Copayment $14.64
- Maximum New Patient Copayment $44.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73
- Minimum Established Patient Price $18.44
- Maximum Established Patient Price $144.68
- Average Established Patient Copayment $18.25
- Minimum Established Patient Copayment $4.61
- Maximum Established Patient Copayment $36.17
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 90.85, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 90.85 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 76.28
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Breast Cancer Screening | 18% | 330 |
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
Colorectal Cancer Screening | 21% | 551 |
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
Documentation of Current Medications in the Medical Record | 98% | 1386 |
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
Implementation of medication management practice improvements | Yes | N/A |
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 35% | 1001 |
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 93% | 126 |
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
Use of decision support and standardized treatment protocols | Yes | N/A |
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 2 | 8 | 0 | 1 | 8 | 6 | 9 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 4 | 8 | 0 | 1 | 16 | 6 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 4 + 8 + 0 + 1 + 1 + 6 + 6 + 1 + 8 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1528018694 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1316907140 | ANGELA FLIPPIN-TRAINER M.D. Individual | Specialist | 8340 COLLIER BLVD SUITE 406 NAPLES, FL 34114 (239) 774-1355 |
1962431031 | GULF COAST SPINE & ORTHOPAEDIC INSTITUTE PLLC Organization | Orthopaedic Surgery | 8340 COLLIER BLVD SUITE 203 NAPLES, FL 34114 (239) 514-2642 |
1689893018 | DR. VIKKI ANGERT WIENER D.O. Individual | Family Medicine (Adult Medicine) | 8340 COLLIER BLVD SUITE 204 NAPLES, FL 34114 (480) 518-1776 |
1821289042 | GULFSHORE SURGICAL ASSOCIATES PL Organization | Surgery | 8340 COLLIER BLVD SUITE #203 NAPLES, FL 34114 (239) 774-4275 |
1952545147 | WOMEN'S HEALTHCARE PHYSICIANS Organization | Obstetrics & Gynecology (Gynecology) | 8340 COLLIER BLVD SUITE 301 NAPLES, FL 34114 (239) 262-3399 |
1134459894 | COLLIER FOOT AND ANKLE SPECIALISTS Organization | Podiatrist (Foot & Ankle Surgery) | 8340 COLLIER BLVD #400 NAPLES, FL 34114 (239) 331-7144 |
1215236641 | MATERNAL FETAL MEDICINE OF S.W. FL Organization | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 8340 COLLIER BLVD SUITE 205 NAPLES, FL 34114 (239) 417-9172 |
1295027712 | FLORIDA WOMAN CARE, LLC Organization | Obstetrics & Gynecology | 8340 COLLIER BLVD SUITE 301 NAPLES, FL 34114 (239) 280-1010 |
1487608030 | JEANNIE HILTON DO Individual | Obstetrics & Gynecology | 8340 COLLIER BLVD 301 NAPLES, FL 34114 (239) 348-4098 |
1619119625 | DR. CATHERINE M HARRINGTON M.D. Individual | Obstetrics & Gynecology | 8340 COLLIER BLVD SUITE 301 NAPLES, FL 34114 (239) 348-4098 |
1629156476 | RASHMI SHARMA MD Individual | Surgery (Vascular Surgery) | 8340 COLLIER BLVD SUITE 400 NAPLES, FL 34114 (239) 331-7144 |
1033555875 | SPECIALIST IN VASCULAR CARE, PLLC Organization | Surgery (Vascular Surgery) | 8340 COLLIER BLVD SUITE 400 NAPLES, FL 34114 (239) 331-7144 |
1225391394 | JULIA CARLEY LDN Individual | Dietitian, Registered | 8340 COLLIER BLVD NAPLES, FL 34114 (239) 348-4560 |
1801847918 | DENNIS HIDLEBAUGH MD Individual | Obstetrics & Gynecology | 8340 COLLIER BLVD NAPLES, FL 34114 (239) 348-4453 |
1548386394 | BENJAMIN BARCKLEY STOREY JR. M.D. Individual | Urology | 8340 COLLIER BLVD #400 NAPLES, FL 34114 (239) 333-3200 |
1861658247 | DR. BRIAN M SMITH M.D. Individual | Surgery | 8340 COLLIER BLVD STE 309 NAPLES, FL 34114 (239) 348-4221 |
1508098344 | COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC Organization | Family Medicine | 8340 COLLIER BLVD NAPLES, FL 34114 (239) 354-4301 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528018694, enumerated in the NPI registry as an "individual" on May 11, 2006
The provider is located at 8340 Collier Blvd Suite 303 Naples, Fl 34114 and the phone number is (239) 348-4040
The provider's speciality is Plastic Surgery with taxonomy code 2082S0105X with a focus in Surgery of the Hand
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $91.69 with an average copayment of $22.92 for new patient appointments. Established patients should expect a typical charge of $73 and an average copayment of 18.25. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Incision of tendon covering of finger, Injection into tendon or ligament, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, New patient office or other outpatient visit, 15-29 minutes, New patient office or other outpatient visit, 30-44 minutes, Release and/or relocation of hand nerve, Relocation of tendon of forearm and/or wrist, Removal of bone joints between wrist and fingers, Removal of growth of tendon finger or hand, X-ray of hand, 2 views, X-ray of hand, minimum of 3 views, X-ray of wrist, 2 views and X-ray of wrist, minimum of 3 views.
This NPI record was last updated on May 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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