DR. CARLOS NEGHME M.D.
NPI 1215921937
Internal Medicine - Gastroenterology in San Marcos, TX

Q: What is Carlos Neghme's NPI number?

The NPI number for Carlos Neghme is 1215921937. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is Carlos Neghme's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Neghme was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment

79.87/100

CMS Quality Rating

1305 WONDER WORLD DR, SUITE 200, SAN MARCOS, TX 78666(512) 754-8676(512) 754-8680 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Carlos Neghme M.d. NPPES

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

DR. CARLOS NEGHME M.D. (NPI 1215921937) is an individual gastroenterology provider in San Marcos, Texas, licensed in Texas (K1582) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Hospital-san Marcos, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1215921937

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. CARLOS NEGHMECredential: M.D.

Location Address1305 WONDER WORLD DR, SUITE 200San Marcos, TX 78666-7546

Mailing Address1305 Wonder World Dr, Suite 200San Marcos, TX 78666-7546 · (512) 754-8676 · Fax (512) 754-8680

Phone(512) 754-8676

Fax(512) 754-8680

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateSeptember 8, 2005

Last NPPES UpdateOctober 16, 2007

✔ NPI 1215921937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TX · K1582

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1305 WONDER WORLD DR, San Marcos, TX 78666

Open in Google Maps ↗

Other Identifiers 2

Medicare UPING33109TX

Medicare PIN00691FTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan 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

Dr. Carlos Neghme 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 ID9931276342

PECOS Enrollment IDI20090130000482

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 15

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.

Injection, vedolizumab, intravenous, 1 mg J3380

Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.

7,500 services12 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

127 services122 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

123 services117 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.

94 services86 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

87 services85 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

59 services59 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

52 services52 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

47 services45 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

43 services41 patients

Removal of external hemorrhoids by rubber banding 46221

Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.

32 services11 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

25 services12 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

25 services25 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

24 services22 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

21 services21 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450272

Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County

Emergency services Birthing friendly

Resolute Health Hospital

Acute Care Hospitals · New Braunfels, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number670098

Location555 Creekside Xing,New Braunfels, TX 78130 · Comal County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78666 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

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.

79.87/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.55

Promoting Interoperability

100

Improvement Activities

Cost

64.36

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. WILLIAM K DESCHNER M.D.

Internal Medicine (Gastroenterology)

1305 WONDER WORLD DR, SUITE 200
SAN MARCOS, TX 78666

Hays County (512) 754-8676

RX MANAGEMENT CONSULTANTS

Pharmacist

1305 WONDER WORLD DR, STE 102
SAN MARCOS, TX 78666

Hays County (512) 392-6777

WENDELL M HOLLADAY CRNA

Nurse Anesthetist, Certified Registered

1305 WONDER WORLD DR, STE. 105
SAN MARCOS, TX 78666

Hays County (512) 353-8161

BUDA MEDICAL AND SURGICAL CLINIC

Internal Medicine

1305 WONDER WORLD DR, STE 206
SAN MARCOS, TX 78666

Hays County (512) 396-1525

DR. TERESA LYNN IRWIN MD

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

1305 WONDER WORLD DR, SUITE 209
SAN MARCOS, TX 78666

Hays County (512) 396-7575

MS. DEBORAH YOUNG HALL RNC,WHCNP

Nurse Practitioner (Women's Health)

1305 WONDER WORLD DR, SUITE 209
SAN MARCOS, TX 78666

Hays County (512) 396-7575

MRS. CAROL ANN COX GARNER MSN,CS,FNP

Nurse Practitioner (Family)

1305 WONDER WORLD DR, SUITE 209
SAN MARCOS, TX 78666

Hays County (512) 396-7575

MR. JESUS NAJIB SAHAD M.D.

Internal Medicine (Pulmonary Disease)

1305 WONDER WORLD DR, STE 209
SAN MARCOS, TX 78666

Hays County (512) 353-6400

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 Neghme's NPI number?

The NPI number for Carlos Neghme is 1215921937. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Carlos Neghme located?

Carlos Neghme practices at 1305 Wonder World Dr Suite 200, San Marcos, TX 78666. The listed phone number is (512) 754-8676.

What is Carlos Neghme's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Carlos Neghme enrolled in Medicare?

Yes. Carlos Neghme 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 Neghme accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc. and WellPoint list Carlos Neghme 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 Carlos Neghme affiliated with any hospitals?

According to CMS data, Carlos Neghme is affiliated with Christus Santa Rosa Hospital-San Marcos and Resolute Health Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Neghme was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.