CARLOS ALBERTO PARIS MD
NPI 1295113611
Internal Medicine in Edinburg, TX

Active since May 18, 2015PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
5501 S MCCOLL RD, EDINBURG, TX 78539(956) 362-8677(956) 362-7253 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 2, 2018, Sep 28, 2016 (2 updates tracked since 2016).

About Carlos Alberto Paris Md NPPES

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

CARLOS ALBERTO PARIS MD (NPI 1295113611) is an individual internal medicine provider in Edinburg, Texas, licensed in Texas (R5449) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Starr County Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295113611
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCARLOS ALBERTO PARISCredential: MD
Location Address5501 S MCCOLL RDEdinburg, TX 78539-5503
Mailing AddressPo Box 5958Mcallen, TX 78502-5958 · (956) 362-8677 · Fax (956) 362-7253
Fax(956) 362-7253
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 18, 2015
Last NPPES UpdateSeptember 19, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
NPI 1295113611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · R5449
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License R5449 (TX)
5501 S MCCOLL RD, Edinburg, TX 78539

Accepted 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

Carlos Alberto Paris Md 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 ID1557659471
PECOS Enrollment IDI20180515002109
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
55 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services40 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
40 services36 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.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Starr County Memorial Hospital

Acute Care Hospitals · Rio Grande City, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450654
Location128 N Fm Rd 3167Rio Grande City, TX 78582 · Starr County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

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.

Nurse Practitioner (Acute Care)
5501 S MCCOLL RD
EDINBURG, TX 78539
Nurse Practitioner (Family)
5501 S MCCOLL RD
EDINBURG, TX 78539
Student in an Organized Health Care Education/Training Program
5501 S MCCOLL RD
EDINBURG, TX 78539
Specialist/Technologist, Other (Surgical Technologist)
5501 S MCCOLL RD
EDINBURG, TX 78539
Internal Medicine
5501 S MCCOLL RD
EDINBURG, TX 78539
Nurse Anesthetist, Certified Registered
5501 S MCCOLL RD
EDINBURG, TX 78539
Internal Medicine
5501 S MCCOLL RD
EDINBURG, TX 78539
Physician Assistant
5501 S MCCOLL RD
EDINBURG, TX 78539

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 Paris's NPI number?

The NPI number for Carlos Paris is 1295113611. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Where is Carlos Paris located?

Carlos Paris practices at 5501 S Mccoll Rd, Edinburg, TX 78539. The listed phone number is (956) 362-8677.

What is Carlos Paris's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carlos Paris enrolled in Medicare?

Yes. Carlos Paris 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 Paris 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 2 other insurers list Carlos Paris 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 Paris affiliated with any hospitals?

According to CMS data, Carlos Paris is affiliated with Starr County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Paris was last updated on September 19, 2023. 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.