CARLOS PORTER M.D.
NPI 1013918242
Family Medicine in Fair Oaks Ranch, TX

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9091 FAIR OAKS PKWY STE 301, FAIR OAKS RANCH, TX 78015(210) 903-2002 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2024, Feb 18, 2022 (2 updates tracked since 2022).

About Carlos Porter M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLOS PORTER M.D. (NPI 1013918242) is an individual family medicine provider in Fair Oaks Ranch, Texas, licensed in Texas (J6667) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1993).

NPPES Registry Identity

NPI1013918242
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCARLOS PORTERCredential: M.D.
Location Address9091 FAIR OAKS PKWY STE 301Fair Oaks Ranch, TX 78015-4690
Mailing Address5825 Callaghan Rd Ste 203San Antonio, TX 78228-1107 · (210) 341-9614 · Fax (210) 340-5924
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1993
Enumeration DateAugust 10, 2005
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
NPI 1013918242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · J6667
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9091 FAIR OAKS PKWY STE 301, Fair Oaks Ranch, TX 78015

Other Identifiers 4

Medicaid121373801TX
Medicaid121373802TX
Medicaid121373804TX
Medicaid121373803TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carlos Porter M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244258812
PECOS Enrollment IDI20051213000626
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
349 services172 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes 99423
This service involves a week-long digital assessment and management program for existing patients. It includes continuous health monitoring, virtual consultations, and personalized treatment plans. The total time spent is 21 minutes or more, ensuring comprehensive care.
156 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services67 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421
This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.
126 services13 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
54 services23 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
53 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers11 claims35 services$6.44 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers30 claims30 services$180.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
9091 FAIR OAKS PKWY STE 301
FAIR OAKS RANCH, TX 78015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Porter's NPI number?

The NPI number for Carlos Porter is 1013918242. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Carlos Porter located?

Carlos Porter practices at 9091 Fair Oaks Pkwy Ste 301, Fair Oaks Ranch, TX 78015. The listed phone number is (210) 903-2002.

What is Carlos Porter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carlos Porter enrolled in Medicare?

Yes. Carlos Porter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carlos Porter accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Carlos Porter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carlos Porter was last updated on April 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.