Individual provider Active NPI

Carlos Esteban Moreyra, MD

  • Orthopaedic Surgery Physician
  • Marianna, FL
National Provider Identifier
1790854594
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME86462 Issued in FL
Practice address
4295 3Rd Ave
Marianna, FL 32446-2120
Phone
(850) 482-0017
Fax
(508) 633-5910
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME86462 FL Primary
Orthopaedic Surgery Physician 207X00000X DR.0070017 CO
Orthopaedic Trauma Physician 207XX0801X ME86462 FL

Addresses

Primary practice location

4295 3Rd Ave
Marianna, FL 32446-2120

Mailing address

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 482-0017

Other practice location 1

1373 E State Road 62
Madison, IN 47250-7328
Phone (812) 801-0800

Other practice location 2

1 Mercado St Ste 202
Durango, CO 81301-7307
Phone (970) 764-9400

Other practice location 3

25 Doctors Dr
Panama City, FL 32405-4520
Phone (850) 767-2455

Other identifiers 1

IdentifierTypeStateIssuer
106267600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN, MI, TX, WV5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20110225000245 FL Practitioner - Orthopedic Surgery 7810178712 Reassigns benefits to 2 organizations
I20171025003501 IN Practitioner - Orthopedic Surgery 7810178712 Reassigns benefits to 1 organization
I20180205000856 MI Practitioner - Orthopedic Surgery 7810178712 Reassigns benefits to 1 organization
I20180618002355 TX Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7810178712 Reassigns benefits to 1 organization
I20220218000511 WV Practitioner - Orthopedic Surgery 7810178712

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hughston Clinic Southeast PCGroup PAC ID 9234423971, 48 clinicians
Portage Physician Practices IncGroup PAC ID 6103053509, 56 clinicians

Practice addresses (Care Compare)

341 Racetrack Rd NW
Suite B
Fort Walton Beach, FL 32547-1788
Phone (850) 226-8112

500 Campus Dr
Hancock, MI 49930-1452
Phone (906) 483-1060

Hospital & facility affiliations

  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • Up Health System Portage Hospital, Hancock, MI, CCN 230108
  • Northwest Florida Community Hospital Hospital, Chipley, FL, CCN 101308

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME86462FLMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portage Physician Practices Inc CurrentSince Aug 15, 2023 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Feb 9, 2015 Accepting new patients
DHHS IHS Phoenix Area CurrentSince May 22, 2018 Accepting new patients
Hughston Clinic Southeast PC Orthopaedic Surgery CurrentSince Sep 1, 2023 Accepting new patients
Hughston Clinic Southeast PC CurrentSince Sep 1, 2023 Accepting new patients
DHHS IHS Phoenix Area CurrentSince May 22, 2018 Accepting new patients
Portage Physician Practices Inc Orthopaedic Surgery CurrentSince Aug 15, 2023 Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Feb 9, 2015 Accepting new patients

Locations

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

341 Racetrack Rd NW
Ste B
Fort Walton Beach, FL 32547
Phone (850) 226-8112

341 Racetrack Rd NW
Ste C
Fort Walton Beach, FL 32547
Phone (850) 226-8112

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

25 Doctors Dr
Panama City, FL 32405
Phone (850) 763-9523

25 Doctors Dr
#2
Panama City, FL 32405
Phone (850) 767-2455

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

12596 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 437-4000

1401 W Seminole Blvd
Fl Regi
Sanford, FL 32771
Phone (407) 302-2620

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: carlos.moreyra.1@321.direct.athenahealth.com
  • Direct secure messaging: carlos.moreyra.1@8233.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1790854594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 HOSPITAL DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461917",
            "telephone_number": "850-482-0017",
            "fax_number": "850-633-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 3RD AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462120",
            "telephone_number": "850-482-0017",
            "fax_number": "508-633-5910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1373 E State Road 62",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472507328",
            "country_code": "US",
            "telephone_number": "812-801-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Mercado St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813017307",
            "country_code": "US",
            "telephone_number": "970-764-9400",
            "fax_number": "970-764-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054520",
            "country_code": "US",
            "telephone_number": "850-767-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREYRA",
        "first_name": "CARLOS",
        "middle_name": "ESTEBAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME86462",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "DR.0070017",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "FL",
            "license": "ME86462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106267600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.