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CARLO DECANDIA
NPI 1043844434
Dentist - Endodontics in Mcallen, TX

Active since February 25, 2020Opted out of Medicare · through Feb 11, 2027
233 E EMORY AVE, MCALLEN, TX 78504(956) 631-9420 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2024, Oct 19, 2021, Feb 25, 2020 (3 updates tracked since 2020).

About Carlo Decandia NPPES

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

CARLO DECANDIA (NPI 1043844434) is an individual endodontics provider in Mcallen, Texas, licensed in Florida (25367) and active in the NPI registry since February 2020. He has opted out of Medicare through February 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043844434
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameCARLO DECANDIA
Location Address233 E EMORY AVEMcallen, TX 78504-5670
Mailing Address233 E Emory AveMcallen, TX 78504-5670 · (956) 451-7077
Phone(956) 631-9420
Sole ProprietorYes
Enumeration DateFebruary 25, 2020
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1043844434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in FL · 25367
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License 36932 (TX)
233 E EMORY AVE, Mcallen, TX 78504
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carlo Decandia has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 11, 2025 through February 11, 2027.

Opt-Out Effective DateFebruary 11, 2025
Opt-Out In Effect ThroughFebruary 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

M.D. INTERVENTIONS PLLC
Radiology (Diagnostic Radiology)
233 E EMORY AVE
MCALLEN, TX 78504
Hidalgo County (956) 496-5788

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 Carlo Decandia's NPI number?

The NPI number for Carlo Decandia is 1043844434. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Where is Carlo Decandia located?

Carlo Decandia practices at 233 E Emory Ave, Mcallen, TX 78504. The listed phone number is (956) 631-9420.

What is Carlo Decandia's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Carlo Decandia enrolled in Medicare?

No. Carlo Decandia has opted out of Medicare through February 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Carlo Decandia accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 12 other insurers list Carlo Decandia 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 Carlo Decandia was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.