CARLOS I MORENO MD
NPI 1306828280
Internal Medicine in Edinburg, TX

Q: What is Carlos Moreno's NPI number?

The NPI number for Carlos Moreno is 1306828280. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Q: What is Carlos Moreno's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carlos Moreno was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment

3516 W ALBERTA RD, EDINBURG, TX 78539(956) 803-0121 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2022, Apr 14, 2022 (2 updates tracked since 2022).

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About Carlos I Moreno Md NPPES

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

CARLOS I MORENO MD (NPI 1306828280) is an individual internal medicine provider in Edinburg, Texas, licensed in Texas (L1135) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1306828280

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameCARLOS I MORENOCredential: MD

Location Address3516 W ALBERTA RDEdinburg, TX 78539-8466

Mailing Address16568 Garrett RdHarlingen, TX 78552-4229 · (956) 767-0761

Phone(956) 803-0121

Sole ProprietorYes

Medical School CMSOtherGraduated 1982

Enumeration DateNovember 16, 2005

Last NPPES UpdateJuly 6, 20222 updates tracked since enumeration

NPPES CertifiedJuly 6, 2022

✔ NPI 1306828280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · L1135

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.

3516 W ALBERTA RD, Edinburg, TX 78539

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Other Identifiers 4

Other030382805TX · Cshcn

Medicaid030382801TX

Medicaid030382805TX

Other8R0693TX · Bcbs

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

Carlos I Moreno 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 ID244202323

PECOS Enrollment IDI20040810000092

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

Medicare enrollment records show Carlos Moreno reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellness Family Clinic PLLC

Same address

Family Medicine

3516 W ALBERTA RD
Edinburg, TX 78539

Reassigned Medicare billing, Texas enrollment
5 clinicians in this Medicare group

NPI 1598410045 (956) 803-0121

Rgv Urgent Care Clinic PLLC

Same address

Urgent Care

3502 W ALBERTA RD
Edinburg, TX 78539

Reassigned Medicare billing, Texas enrollment
3 clinicians in this Medicare group

NPI 1841792116 (956) 900-2415

Shavano Emergency Medicine Associates, PA

0.3 mi

Emergency Medicine

4702 S MCCOLL RD
Edinburg, TX 78539

Reassigned Medicare billing, Texas enrollment
136 clinicians in this Medicare group

NPI 1255820775 (956) 213-2600

Edinburg Emergency Medicine Associates PA

1.5 mi

Emergency Medicine

1102 W TRENTON RD
Edinburg, TX 78539

Reassigned Medicare billing, Texas enrollment
257 clinicians in this Medicare group

NPI 1942467113 (956) 388-6600

Rgv Urgent Care Clinic Mcallen LLC

2.8 mi

Emergency Medical Services

2812 W NOLANA AVE STE 210
Mcallen, TX 78504

Reassigned Medicare billing, Texas enrollment
4 clinicians in this Medicare group

NPI 1225652779 (956) 803-0120

Oak Creek Emergency Medicine Associates, PA

3.3 mi

Emergency Medicine

3700 WEST NOLANA AVENUE
Mcallen, TX 78504

Reassigned Medicare billing, Texas enrollment
150 clinicians in this Medicare group

NPI 1629576632 (956) 213-2700

Mcallen Emergency Medicine Associates PA

5.0 mi

Emergency Medicine

301 W EXPY 83
Mcallen, TX 78503

Reassigned Medicare billing, Texas enrollment
170 clinicians in this Medicare group

NPI 1336543636 (956) 632-4100

Municipal Emergency Medicine Associates, PA

6.4 mi

Emergency Medicine

3615 N. INTERSTATE 69C
Edinburg, TX 78541

Reassigned Medicare billing, Texas enrollment
154 clinicians in this Medicare group

NPI 1396250650 (956) 259-2100

Canyon Springs Emergency Medicine Associates, PA

8.3 mi

Emergency Medicine

140 FRONTAGE RD
Alamo, TX 78516

Reassigned Medicare billing, Texas enrollment
145 clinicians in this Medicare group

NPI 1154825412 (956) 403-5100

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 22

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

527 services83 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

330 services55 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

255 services143 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

182 services113 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

163 services163 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.

124 services77 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

102 services85 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.

87 services87 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

86 services51 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

76 services64 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

76 services61 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

70 services63 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

67 services61 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

63 services26 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

61 services56 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

57 services45 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

56 services52 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

28 services28 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

19 services12 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

16 services14 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

14 services12 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450119

Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County

Emergency services Birthing friendly

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450711

Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County

Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipPhysician

CMS Certification Number450869

Location5501 South MccollEdinburg, TX 78539 · Hidalgo 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.

Other Providers at the Same Location NPPES 3

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

MARIA CECILIA BARRERA ELIZONDO FNP

Nurse Practitioner

3516 W ALBERTA RD
EDINBURG, TX 78539

Hidalgo County (956) 803-0121

LAURIE RODRIGUEZ-ROCHA FNP

Nurse Practitioner (Family)

3516 W ALBERTA RD
EDINBURG, TX 78539

Hidalgo County (956) 801-0121

WELLNESS FAMILY CLINIC PLLC

Family Medicine

3516 W ALBERTA RD
EDINBURG, TX 78539

Hidalgo County (956) 803-0121

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 Moreno's NPI number?

The NPI number for Carlos Moreno is 1306828280. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Carlos Moreno located?

Carlos Moreno practices at 3516 W Alberta Rd, Edinburg, TX 78539. The listed phone number is (956) 803-0121.

What is Carlos Moreno's specialty?

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

Is Carlos Moreno enrolled in Medicare?

Yes. Carlos Moreno 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 Moreno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Moreno reassigns Medicare benefits to 9 organizations: Wellness Family Clinic PLLC (Edinburg, TX), Rgv Urgent Care Clinic PLLC (Edinburg, TX), Shavano Emergency Medicine Associates, PA (Edinburg, TX), Edinburg Emergency Medicine Associates PA (Edinburg, TX), Rgv Urgent Care Clinic Mcallen LLC (Mcallen, TX) and 4 more organizations, listed in the Medicare section above. 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 Moreno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Moreno 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 4 other insurers list Carlos Moreno 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 Moreno affiliated with any hospitals?

According to CMS data, Carlos Moreno is affiliated with South Texas Health System, Rio Grande Regional Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Carlos Moreno was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.