Dr. Otto C Concepcion , MD
Internal Medicine • Hialeah, FL
3855 E 4th Ave
Hialeah, FL 330132703
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Otto Concepcion is listed in NPPES under Internal Medicine.
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NPI assigned on January 6, 2009; this date does not establish years in practice.
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Published CMS data list 158 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 99213 — Established patient outpatient office visit: 69 service units.
- 36415 — Insertion of needle into vein for collection of blood sample: 35 service units.
- G0439 — Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 27 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See all 4 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 405 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 64 prescription fills, including refills.
- Amlodipine Besylate — 38 prescription fills, including refills.
- Losartan Potassium — 31 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 19 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 70% of clinicians listed under Internal Medicine in Hialeah, FL (2024, 97 clinicians with data). Median for this group: 3,466. Middle half: 335 to 8,505.
Fewer Part D prescriptions than 60% of clinicians listed under Internal Medicine in Florida (2024, 6,545 clinicians with data). Median for this group: 1,318. Middle half: 158 to 5,882.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 63 in 2021 to 158 in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021–2023.
Practice Location & Contact Primary Location
3855 E 4th Ave
Hialeah, FL 330132703
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Cano Health, Llc; South Dade Primary Care Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1994
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $10,986 in 2023
The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023.
Paid by Medicare
About $9,619 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023.
30-day fills
1,014 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$21,660 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $59.76 across 3 records.
By nature of payment
- Food and Beverage: $59.76 across 3 records.
Reporting-company totals
- Exact Sciences Corporation: $25.00 across 1 record.
- Novo Nordisk Inc: $21.01 across 1 record.
- GlaxoSmithKline, LLC.: $13.75 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
32 years (graduated 1994)
CMS Doctors and Clinicians data list 1994 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2009
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Concepcion has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Concepcion as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Hialeah and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 70% of clinicians listed under Internal Medicine in Hialeah, FL (2024, 97 clinicians with data). Median for this group: 3,466. Middle half: 335 to 8,505.
Fewer Part D prescriptions than 60% of clinicians listed under Internal Medicine in Florida (2024, 6,545 clinicians with data). Median for this group: 1,318. Middle half: 158 to 5,882.
Part D drug cost
A lower Part D drug cost than 70% of clinicians listed under Internal Medicine in Hialeah, FL (2024, 97 clinicians with data). Median for this group: $236,965. Middle half: $21,558 to $577,253.
A lower Part D drug cost than 60% of clinicians listed under Internal Medicine in Florida (2024, 6,545 clinicians with data). Median for this group: $86,865. Middle half: $8,159 to $434,445.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Concepcion are from 2023.
139 active clinicians are listed under Internal Medicine with a practice address in Hialeah, FL (10,165 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Hialeah
14.4% of these 139 clinicians have the CMS telehealth indicator.
61.9% of these 139 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 151% from 63 in 2021 to 158 in 2023.
- 2021: 63
- 2022: 96
- 2023: 158
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Medicare-allowed amount
Medicare-allowed amount increased 117% from $5,055 in 2021 to $10,986 in 2023.
- 2021: $5,055
- 2022: $9,173
- 2023: $10,986
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Paid by Medicare
Paid by Medicare increased 149% from $3,865 in 2021 to $9,619 in 2023.
- 2021: $3,865
- 2022: $7,658
- 2023: $9,619
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 46% from 745 in 2020 to 405 in 2024.
- 2020: 745
- 2021: 902
- 2022: 2,596
- 2023: 3,831
- 2024: 405
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30-day fills
30-day fills decreased 20% from 1,266 in 2020 to 1,014 in 2024.
- 2020: 1,266
- 2021: 1,905
- 2022: 5,460
- 2023: 8,454
- 2024: 1,014
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Part D drug cost
Part D drug cost increased 48% from $14,681 in 2020 to $21,660 in 2024.
- 2020: $14,681
- 2021: $57,233
- 2022: $178,286
- 2023: $336,875
- 2024: $21,660
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $15.01 in 2019 to $59.76 in 2025.
- 2019: $15.01
- 2023: $17.07
- 2024: $25.26
- 2025: $59.76
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $59.76.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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The Cologuard Plus Collection Kit | General | $25.00 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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— | General | $21.01 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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SHINGRIX | General | $13.75 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020–2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2021–2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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69 | 36 | $186.09 | $94.57 |
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36415
Insertion of needle into vein for collection of blood sample
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35 | 26 | $14.00 | $8.40 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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27 | 27 | $188.89 | $135.25 |
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G0444
Annual depression screening, 5 to 15 minutes
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27 | 27 | $47.41 | $19.08 |
Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 64 | 5,418 | $439.15 | 45 |
| Amlodipine Besylate | Amlodipine Besylate | 38 | 2,940 | $250.19 | 26 |
| Losartan Potassium | Losartan Potassium | 31 | 2,515 | $184.20 | 21 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 26 | 2,284 | $448.62 | 19 |
| Metformin Hcl | Metformin Hcl | 23 | 1,964 | $58.40 | 14 |
| Levothyroxine Sodium | Levothyroxine Sodium | 21 | 1,571 | $97.20 | 16 |
| Lisinopril | Lisinopril | 20 | 1,736 | $101.42 | 13 |
| Metoprolol Succinate | Metoprolol Succinate | 20 | 1,800 | $166.69 | 17 |
| Tamsulosin Hcl | Tamsulosin Hcl | 20 | 1,745 | $128.67 | 13 |
| Sildenafil Citrate | Sildenafil Citrate | 19 | 604 | $43.45 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 18 | 1,571 | $126.94 | 12 |
| Simvastatin | Simvastatin | 17 | 1,471 | $84.39 | 13 |
| Temazepam | Temazepam | 17 | 510 | $95.19 | — |
| Ezetimibe | Ezetimibe | 14 | 1,140 | $117.60 | — |
| Metoprolol Tartrate | Metoprolol Tartrate | 12 | 735 | $46.58 | — |
| Finasteride | Finasteride | 12 | 1,080 | $72.29 | — |
| Alprazolam | Alprazolam | 11 | 330 | $81.56 | — |
| Eliquis | Apixaban | 11 | 570 | $10,877.27 | — |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 11 | 390 | $8,240.12 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-06-23NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20100308000853
FL
2466597919
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Cano Health, Llc
3855 E 4th Ave, Hialeah, FL 330132703
Phone: 8552266633
South Dade Primary Care Llc
15335 Sw 288th St, Homestead, FL 330331356
Phone: 3052483814
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Adult Health
Advanced Registered Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 8333 NW 53RD ST FL 6, DORAL, FL 331664783
Registered at 3855 E 4TH AVE, HIALEAH, FL 330132703 (Tel: 3058350438)
Registered at 3855 E 4TH AVE, HIALEAH, FL 330132703 (Tel: 3058350438)
Registered at 15335 SW 288TH ST, HOMESTEAD, FL 330331356 (Tel: 3052483814)
Registered at 14270 SW 33RD ST, MIAMI, FL 331756774 (Tel: 7862309980)
Registered at 6101 BLUE LAGOON DR STE 400, MIAMI, FL 331262051 (Tel: 3055002000)
NPI status registered as active in NPPES database
Registered at 7100 W 20TH AVE, G126, HIALEAH, FL 330161897 (Tel: 3058827747)
Registered at PO BOX 698, CIRCLE PINES, MN 550140698 (Tel: 6126697173)
Recorded as OTTO CONCEPCION, M.D.
Internal Medicine (license number reported to NPPES: FL ME103235)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Hialeah
- Dr. Francisco Rosas, MD
- Dr. Jorge Marrero, MD
- Maria Molina
- Dr. Marietta Miralles-Bouza, MD
- Dr. Jose Pagliery, MD
- Dr. Lazaro Calvino Acosta, MD
Mailing Address
8333 Nw 53rd St Fl 6
Doral, FL 331664783