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Carlos Jesus Lavernia, M.D.

NPI 1255326179ActiveIndividual· Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery· Miami, FL

Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (M.D.) in Miami, Florida, trained at University of Puerto Rico School of Medicine (class of 1985). 199 Medicare patients in 2024, $88,389 paid; nearly all of their 658 Part D prescriptions were generic (99%). Stryker Corporation was the largest of 2 companies reporting payments in 2025, $886,507 in all, mostly royalties and licenses.

Overview

NPI1255326179
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorYes
NPI issuedSep 16, 2005
Last updated in NPPESJul 18, 2024
Certified by providerMay 15, 2024

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Orthopedic Surgery (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients199
Services billed1,187 across 39 procedure codes
Paid by Medicare$88,389

Part D prescriptions in 2024

Prescriptions (claims)658 · 680 30-day fills
Patients109
Total drug cost$10,192
Generic share99% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Puerto Rico School of Medicine
Graduation year1985
Medicare specialtyOrthopedic Surgery

Medical group

Hospital affiliation

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$886,507 · 8 payments from 2 companies
  • 2024$856,800 · 4 payments from 1 company

Top paying companies in 2025

CompanyAmountPayments
Stryker Corporation$886,3867
Pacira Pharmaceuticals Incorporated$121.841

What the 2025 payments were for

  • Royalty or License$886,200 · 4 payments
  • Food and Beverage$307.42 · 4 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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