CARMEN THORNTON MD - NPI 1366513004 - Obstetrics & Gynecology in Houston, TX

Q: What is Carmen Thornton's NPI number?

The NPI number for Carmen Thornton is 1366513004. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Carmen Thornton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Carmen Thornton was last updated on August 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Carmen Thornton Md NPPES

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

CARMEN THORNTON MD (NPI 1366513004) is an individual obstetrics & gynecology provider in Houston, Texas, licensed in Texas (H7352) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366513004

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameCARMEN THORNTONCredential: MD

Location Address7037 CAPITOL ST STE N100Houston, TX 77011-4643

Mailing AddressPo Box 230209Houston, TX 77223-0209 · (713) 660-1880 · Fax (713) 926-9105

Phone(713) 660-1880

Fax(713) 926-9105

Sole ProprietorNo

Enumeration DateNovember 13, 2006

Last NPPES UpdateAugust 7, 2024

NPPES CertifiedAugust 7, 2024

✔ NPI 1366513004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · H7352

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

7037 CAPITOL ST STE N100, Houston, TX 77011

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Other Identifiers 3

Medicaid115086405TX

Medicaid115086407TX

Medicaid115086409TX

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)

Carmen Thornton Md 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 77011 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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.

Other Providers at the Same Location NPPES 8

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

ALEXIS JANEL GORE

Nurse Practitioner (Women's Health)