PAUL A CARSTENS MD - NPI 1144328766 - Pediatrics in Meadowlakes, TX

Q: What is Paul Carstens's NPI number?

The NPI number for Paul Carstens is 1144328766. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Paul Carstens's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: Is Paul Carstens enrolled in Medicare?

No. Paul Carstens has opted out of Medicare through October 1, 2026. 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.

Q: When was this NPI record last updated?

The NPPES record for Paul Carstens was last updated on March 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

On this page

About Paul A Carstens Md NPPES

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

PAUL A CARSTENS MD (NPI 1144328766) is an individual pediatrics provider in Meadowlakes, Texas, licensed in Texas (H3556) and active in the NPI registry since September 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1144328766

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NamePAUL A CARSTENSCredential: MD

Location Address105 MEADOWLAKES DRMeadowlakes, TX 78654-6608

Mailing Address105 Meadowlakes DrMeadowlakes, TX 78654-6608 · (830) 265-4474 · Fax (830) 265-6150

Phone(830) 265-4474

Fax(830) 265-6150

Sole ProprietorYes

Enumeration DateSeptember 20, 2006

Last NPPES UpdateMarch 16, 2015

✔ NPI 1144328766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · H3556

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

105 MEADOWLAKES DR, Meadowlakes, TX 78654

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Paul A Carstens Md 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 October 1, 2014 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2014

Opt-Out In Effect ThroughOctober 1, 2026Opt-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 78654 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.

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 Paul Carstens's NPI number?

The NPI number for Paul Carstens is 1144328766. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Paul Carstens located?

Paul Carstens practices at 105 Meadowlakes Dr, Meadowlakes, TX 78654. The listed phone number is (830) 265-4474.

What is Paul Carstens's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Paul Carstens enrolled in Medicare?

No. Paul Carstens has opted out of Medicare through October 1, 2026. 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 Paul Carstens accept?

Health plans from Blue Cross and Blue Shield of Texas list Paul Carstens 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 Paul Carstens was last updated on March 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.