DR. CARLOS ALBERTO PLANCARTE M.D.
NPI 1285019091
Pediatrics in New York, NY

Q: 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.

Q: What is Carlos Plancarte's specialty?

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

Q: 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 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.

Active since July 22, 2015PECOS EnrolledAccepts Medicare Assignment

3959 BROADWAY, NEW YORK, NY 10032(212) 305-8458(212) 342-2293 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2024, Jun 17, 2021, Oct 15, 2020 and 2 more (5 updates tracked since 2020).

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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

NPI1285019091

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. CARLOS ALBERTO PLANCARTECredential: M.D.

Location Address3959 BROADWAYNew York, NY 10032-1559

Mailing Address3959 BroadwayNew York, NY 10032-1559

Phone(212) 305-8458

Fax(212) 342-2293

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2015

Enumeration DateJuly 22, 2015

Last NPPES UpdateSeptember 3, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2024

✔ NPI 1285019091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NY · 292976✔ Licensed in TN · 61028

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.

Also ListedHospitalistTaxonomy 208M00000X · License 61028 (TN), 292976 (NY)

3959 BROADWAY, New York, NY 10032

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Secondary Practice Locations 3

Location 1719 Thompson Ln Ste 30330Nashville, TN 37204-4701 · Phone (615) 322-3000

Location 23415 Bainbridge AveBronx, NY 10467-2403 · Phone (718) 484-5149 · Fax (718) 920-6506

Location 33601 The Vanderbilt ClinicNashville, TN 37232-4701 · Phone (615) 322-3000

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 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.

PECOS PAC ID7416207121

PECOS Enrollment IDI20180830000159

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.

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.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

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. PAMELA ISABEL GOOD M.D.

Pediatrics

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-8504

HAE LIN SON

Nurse Practitioner (Neonatal)

3959 BROADWAY
NEW YORK, NY 10032

New York County (201) 696-5960

ELIZABETH ANN BADER

Physician Assistant

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-5437

HYO JIN CHO MD

Student in an Organized Health Care Education/Training Program

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-8504

DR. DAVID RUBENSTEIN

Pediatrics (Neonatal-Perinatal Medicine)

3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032

New York County (212) 304-7250

MS. MEREDITH GAROD-MUSIC CPNP

Nurse Practitioner (Pediatrics)

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 342-8530

EVIANNA CRUZ HERRERA MD/MPH

Pediatrics (Pediatric Gastroenterology)

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-5903

SARA BOMBONATO OTR/L

Occupational Therapist

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-5827

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.

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 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.