DR. CARLOS ALBERTO PLANCARTE M.D.
NPI 1285019091
Pediatrics in New York, NY
About Dr. Carlos Alberto Plancarte M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARLOS ALBERTO PLANCARTE M.D. (NPI 1285019091) is an individual pediatrics provider in New York, New York, licensed in New York (292976) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Texas Medical Branch At Galveston (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Carlos Alberto Plancarte 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carlos Plancarte reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10032
NEW YORK, NY 10032
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 Plancarte's NPI number?
The NPI number for Carlos Plancarte is 1285019091. It was assigned to this individual provider in the NPPES registry on July 22, 2015.
Where is Carlos Plancarte located?
Carlos Plancarte practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-8458.
What is Carlos Plancarte's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Carlos Plancarte enrolled in Medicare?
Yes. Carlos Plancarte 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.
Which organizations bill Medicare for Carlos Plancarte's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Plancarte reassigns Medicare benefits to 2 organizations: Trustees Of Columbia University In The City Of New York (New York, NY) and Montefiore Medical Center (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Plancarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carlos Plancarte was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Carlos Alberto Plancarte, M.D. · NPI 1285019091
Pediatrics physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 22, 2015.
## Identity
- **NPI:** 1285019091 (Entity type: Individual)
- **Enumerated:** July 22, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 292976 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3959 BROADWAY, New York, NY 10032-1559
- **Phone:** (212) 305-8458 · **Fax:** (212) 342-2293
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Trustees Of Columbia University In The City Of New York (NPI 1477068971, New York, NY); Montefiore Medical Center (NPI 1760288278, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical Branch At Galveston, class of 2015
## Record status
- **NPPES last updated:** September 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285019091) · Data from the CMS NPPES public registry.