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MACARTNEY WELBORN
NPI 1285298471
Dermatology in San Antonio, TX

Active since April 24, 2019PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
131 W SUNSET RD STE 101, SAN ANTONIO, TX 78209(210) 225-8447(210) 255-8446 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 22, 2024, Apr 24, 2019 (2 updates tracked since 2019).

About Macartney Welborn NPPES

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

MACARTNEY WELBORN (NPI 1285298471) is an individual dermatology provider in San Antonio, Texas, licensed in Texas (V1918) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bulverde, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285298471
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMACARTNEY WELBORN
Location Address131 W SUNSET RD STE 101San Antonio, TX 78209-2797
Mailing Address131 W Sunset Rd Ste 101San Antonio, TX 78209-2797 · (210) 255-8447 · Fax (210) 255-8446
Phone(210) 225-8447
Fax(210) 255-8446
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 24, 2019
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1285298471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · V1918
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License V1918 (TX)
131 W SUNSET RD STE 101, San Antonio, TX 78209
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Secondary Practice Location 1

Location 1121 Bulverde Crossing Rd Ste 110Bulverde, TX 78163-6201 · Phone (830) 380-3031 · Fax (210) 255-8446

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Macartney Welborn 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 ID446670962
PECOS Enrollment IDI20240703003293, I20251027002151
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Macartney Welborn reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alamo Heights Dermatology PA
Same address
Dermatology
131 W SUNSET RD STE 101
San Antonio, TX 78209
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
NPI 1285961847 (210) 255-8447
Sagis, PLLC
183 mi
Anatomic Pathology & Clinical Pathology
4131 DIRECTORS ROW, 4131 DIRECTORS ROW
Houston, TX 77092
  • Reassigned Medicare billing, Arizona and Texas enrollments
  • 24 clinicians in this Medicare group
NPI 1548549066 (877) 697-2447
Clear Lake Pathology Partners Ltd
185 mi
Anatomic Pathology & Clinical Pathology
6441 MAIN STREET
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 28 clinicians in this Medicare group
NPI 1881757458 (713) 790-0500
Alliance Pathology Consultants PA
196 mi
Anatomic Pathology & Clinical Pathology
300 KINGWOOD MEDICAL DRIVE, STE 100
Kingwood, TX 77339
  • Reassigned Medicare billing, Texas enrollment
  • 35 clinicians in this Medicare group
NPI 1699707943 (281) 312-4000
Florida Clinical Practice Association Inc
970 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
22 services22 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78209 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Other Providers at the Same Location NPPES 4

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

MS. KIMBERLEY MICHELLE TOTMAN PA - PHYSICIAN ASSIS
Physician Assistant
131 W SUNSET RD STE 101
SAN ANTONIO, TX 78209
Bexar County (210) 255-8447
ALAMO HEIGHTS DERMATOLOGY PA
Dermatology
131 W SUNSET RD STE 101
SAN ANTONIO, TX 78209
Bexar County (210) 255-8447
EMILY KIM FRIDLINGTON MD
Dermatology
131 W SUNSET RD STE 101
SAN ANTONIO, TX 78209
Bexar County (210) 255-8447
DR. MICHELLE AILAN FRICKE MD
Dermatology
131 W SUNSET RD STE 101
SAN ANTONIO, TX 78209
Bexar County (210) 255-8447

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 Macartney Welborn's NPI number?

The NPI number for Macartney Welborn is 1285298471. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Macartney Welborn located?

Macartney Welborn practices at 131 W Sunset Rd Ste 101, San Antonio, TX 78209. The listed phone number is (210) 225-8447.

What is Macartney Welborn's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Macartney Welborn enrolled in Medicare?

Yes. Macartney Welborn 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 Macartney Welborn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Macartney Welborn reassigns Medicare benefits to 5 organizations: Alamo Heights Dermatology PA (San Antonio, TX), Sagis, PLLC (Houston, TX), Clear Lake Pathology Partners Ltd (Houston, TX), Alliance Pathology Consultants PA (Kingwood, TX) and Florida Clinical Practice Association Inc (Gainesville, FL). 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 Macartney Welborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Macartney Welborn accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Macartney Welborn 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 Macartney Welborn was last updated on July 22, 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.