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

Active since November 13, 2006PECOS Enrolled
7037 CAPITOL ST STE N100, HOUSTON, TX 77011(713) 660-1880(713) 926-9105 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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
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

Other Identifiers 3

Medicaid115086405TX
Medicaid115086407TX
Medicaid115086409TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Carmen Thornton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
7037 CAPITOL ST.
Houston, TX 77011
  • Reassigned Medicare billing, Texas enrollment
  • 29 clinicians in this Medicare group

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

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.

Nurse Practitioner (Women's Health)
7037 CAPITOL ST STE N100
HOUSTON, TX 77011
Counselor (Mental Health)
7037 CAPITOL ST STE N100
HOUSTON, TX 77011
Family Medicine
7037 CAPITOL ST STE N100
HOUSTON, TX 77011
Nurse Practitioner (Women's Health)
7037 CAPITOL ST STE N100
HOUSTON, TX 77011
Community Health Worker
7037 CAPITOL ST STE N100
HOUSTON, TX 77011
Obstetrics & Gynecology (Obstetrics)
7037 CAPITOL ST STE N100
HOUSTON, TX 77011
Family Medicine
7037 CAPITOL ST STE N100
HOUSTON, TX 77011
Social Worker
7037 CAPITOL ST STE N100
HOUSTON, TX 77011

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 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.

Where is Carmen Thornton located?

Carmen Thornton practices at 7037 Capitol St Ste N100, Houston, TX 77011. The listed phone number is (713) 660-1880.

What is Carmen Thornton's specialty?

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

Is Carmen Thornton enrolled in Medicare?

Yes. Carmen Thornton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carmen Thornton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Thornton reassigns Medicare benefits to El Centro De Corazon (Houston, TX). The 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 Carmen Thornton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Thornton accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Carmen Thornton 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 Carmen Thornton was last updated on August 7, 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.