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ANTONIO JOSE CARRASCO MD, PHD
NPI 1114155231
Family Medicine in Vancouver, WA

Active since June 26, 2009PECOS EnrolledAccepts Medicare Assignment
100 E 33RD ST, SUITE 100, VANCOUVER, WA 98663(360) 514-7550(360) 514-7553 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Antonio Jose Carrasco Md, Phd NPPES

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

ANTONIO JOSE CARRASCO MD, PHD (NPI 1114155231) is an individual family medicine provider in Vancouver, Washington, licensed in Washington (ML60066899) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Peacehealth St John Medical Center, and is a graduate of Mayo Medical School (2006).

NPPES Registry Identity

NPI1114155231
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTONIO JOSE CARRASCOCredential: MD, PHD
Location Address100 E 33RD ST, SUITE 100Vancouver, WA 98663
Mailing Address1115 Se 164th Ave, Dept 358Vancouver, WA 98683-9324 · (360) 514-7550 · Fax (360) 514-7553
Phone(360) 514-7550
Fax(360) 514-7553
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 2006
Enumeration DateJune 26, 2009
Last NPPES UpdateAugust 2, 2018
✔ NPI 1114155231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · ML60066899
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.
100 E 33RD ST, Vancouver, WA 98663
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Antonio Jose Carrasco Md, Phd 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 ID2062693328
PECOS Enrollment IDI20110221000587
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.

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.
274 services58 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
239 services59 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
154 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
138 services53 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
115 services13 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
99 services30 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500041
Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County
Emergency services Birthing friendly

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500050
Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98663 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier24 claims1,404 services$0.09 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier21 claims1,192 services$0.37 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier19 claims274 services$20.29 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims203 services$7.12 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209
DME-Medical/Surgical Supplies · category DA023N
1 supplier21 claims245 services$7.22 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier25 claims314 services$9.34 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 20

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

DR. DAVID PAIK MD
Family Medicine
100 E 33RD ST, SUITE 100
VANCOUVER, WA 98663
Clark County (360) 514-7550
DR. JEFFREY C DART M.D.
Family Medicine
100 E 33RD ST, #100
VANCOUVER, WA 98663
Clark County (360) 514-7550
MARK TODD LEHNER O.T.
Occupational Therapist
100 E 33RD ST, SUITE 201
VANCOUVER, WA 98663
Clark County (360) 759-7500
KITZYA HERRERA
Case Manager/Care Coordinator
100 E 33RD ST
VANCOUVER, WA 98663
Clark County (360) 986-3531
TYSON MICHAEL CAMPBELL DO
Family Medicine
100 E 33RD ST, SUITE 100
VANCOUVER, WA 98663
Clark County (360) 514-7550
NADIA BUSEKRUS MSW
Counselor (Mental Health)
100 E 33RD ST
VANCOUVER, WA 98663
Clark County (360) 986-3500
DR. ABIGAIL KRESS D.O
Family Medicine
100 E 33RD ST
VANCOUVER, WA 98663
Clark County (360) 514-7560
DR. BONITA J SEUBERT
Nurse Practitioner (Family)
100 E 33RD ST, STE 206
VANCOUVER, WA 98663
Clark County (360) 695-1334

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 Antonio Carrasco's NPI number?

The NPI number for Antonio Carrasco is 1114155231. It was assigned to this individual provider in the NPPES registry on June 26, 2009.

Where is Antonio Carrasco located?

Antonio Carrasco practices at 100 E 33rd St Suite 100, Vancouver, WA 98663. The listed phone number is (360) 514-7550.

What is Antonio Carrasco's specialty?

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

Is Antonio Carrasco enrolled in Medicare?

Yes. Antonio Carrasco 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 Antonio Carrasco accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Antonio Carrasco 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.

Is Antonio Carrasco affiliated with any hospitals?

According to CMS data, Antonio Carrasco is affiliated with Peacehealth St John Medical Center and Peacehealth Southwest Medical Center.

When was this NPI record last updated?

The NPPES record for Antonio Carrasco was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.