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DR. CARLOS J MEDRANO M.D., PH.D.
NPI 1295727204
Family Medicine in Edinburg, TX

Active since August 16, 2005PECOS Enrolled
304 S JACKSON RD, EDINBURG, TX 78539(956) 380-1911(956) 380-1913 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Carlos J Medrano M.d., Ph.d. NPPES

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

DR. CARLOS J MEDRANO M.D., PH.D. (NPI 1295727204) is an individual family medicine provider in Edinburg, Texas, licensed in Texas (K8662) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295727204
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARLOS J MEDRANOCredential: M.D., PH.D.
Location Address304 S JACKSON RDEdinburg, TX 78539-3945
Mailing Address304 S Jackson RdEdinburg, TX 78539-3945 · (956) 380-1911 · Fax (956) 380-1913
Phone(956) 380-1911
Fax(956) 380-1913
Sole ProprietorYes
Enumeration DateAugust 16, 2005
Last NPPES UpdateDecember 29, 2011
✔ NPI 1295727204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K8662
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

304 S JACKSON RD, Edinburg, TX 78539
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carlos J Medrano M.d., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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
$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
$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.

Other Providers at the Same Location NPPES

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

CARLOS J MEDRANO MD PA
Clinic/Center (Primary Care)
304 S JACKSON RD
EDINBURG, TX 78539
Hidalgo County (956) 380-1911

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 Medrano's NPI number?

The NPI number for Carlos Medrano is 1295727204. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Carlos Medrano located?

Carlos Medrano practices at 304 S Jackson Rd, Edinburg, TX 78539. The listed phone number is (956) 380-1911.

What is Carlos Medrano's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carlos Medrano enrolled in Medicare?

Yes. Carlos Medrano is registered in the Medicare PECOS enrollment system.

What insurance does Carlos Medrano 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 Medrano 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 Carlos Medrano was last updated on December 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.