DR. ORLANDO JOSE ENCARNACION JR. MD
NPI 1366653669
Emergency Medicine in Round Rock, TX

Active since May 25, 2007PECOS EnrolledAccepts Medicare Assignment
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665(254) 724-2111 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 12, 2025, Nov 26, 2025 (2 updates tracked since 2025).

About Dr. Orlando Jose Encarnacion Jr. Md NPPES

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

DR. ORLANDO JOSE ENCARNACION JR. MD (NPI 1366653669) is an individual emergency medicine provider in Round Rock, Texas, licensed in Texas (N5038) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (2006).

NPPES Registry Identity

NPI1366653669
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ORLANDO JOSE ENCARNACION JR.Credential: MD
Location Address300 UNIVERSITY BLVDRound Rock, TX 78665-1032
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2006
Enumeration DateMay 25, 2007
Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1366653669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · N5038
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
300 UNIVERSITY BLVD, Round Rock, TX 78665

Accepted 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

Dr. Orlando Jose Encarnacion Jr. 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 ID446307680
PECOS Enrollment IDI20100924000753
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

7

Medicare enrollment records show Orlando Encarnacion reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
305 MALLARD LN
Taylor, TX 76574
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
Emergency Medicine
919 E 32ND ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 547 clinicians in this Medicare group
Urgent Care
1518 RANCH ROAD 620 S
Lakeway, TX 78734
  • Reassigned Medicare billing, Texas enrollment
  • 77 clinicians in this Medicare group
Emergency Medicine
1301 WONDER WORLD DR
San Marcos, TX 78666
  • Reassigned Medicare billing, Texas enrollment
  • 137 clinicians in this Medicare group
Emergency Medicine
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 1,452 clinicians in this Medicare group
Emergency Medicine
4103 NORTH LOOK 1604 W
San Antonio, TX 78249
  • Reassigned Medicare billing, Texas enrollment
  • 379 clinicians in this Medicare group
Emergency Medicine
3500 GASTON AVE
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 1,044 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.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
138 services136 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
122 services120 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
50 services48 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
33 services33 patients

Hospital Affiliations CMS Care Compare 3

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baptist Neighborhood Hospital Thousand Oaks

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670078
Location16088 San PedroSan Antonio, TX 78232 · Bexar County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78665 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 20

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

Emergency Medicine
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Nurse Practitioner (Neonatal)
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Anesthesiology
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Radiology (Diagnostic Radiology)
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Nurse Anesthetist, Certified Registered
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Anesthesiologist Assistant
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Registered Nurse
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Emergency Medicine
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665

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 Orlando Encarnacion's NPI number?

The NPI number for Orlando Encarnacion is 1366653669. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Orlando Encarnacion located?

Orlando Encarnacion practices at 300 University Blvd, Round Rock, TX 78665. The listed phone number is (254) 724-2111.

What is Orlando Encarnacion's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Orlando Encarnacion enrolled in Medicare?

Yes. Orlando Encarnacion 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 Orlando Encarnacion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Orlando Encarnacion reassigns Medicare benefits to 7 organizations: Scott & White Hospital - Taylor (Taylor, TX), Longhorn Emergency Medical Associates PA (Austin, TX), Cec Lakeway Urgent Care Physicians PLLC (Lakeway, TX), Comal Emergency Physicians, PLLC (San Marcos, TX), Emergency Medicine Services Of Tx, PLLC (San Antonio, TX) and 2 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 Orlando Encarnacion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Orlando Encarnacion accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health and Oscar Insurance Company and 2 other insurers list Orlando Encarnacion 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 Orlando Encarnacion affiliated with any hospitals?

According to CMS data, Orlando Encarnacion is affiliated with Methodist Hospital, Baylor Scott & White Medical Center - Round Rock and Baptist Neighborhood Hospital Thousand Oaks.

When was this NPI record last updated?

The NPPES record for Orlando Encarnacion was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.