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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARLO FERNANDES D.O
NPI 1477907905
Family Medicine in Modesto, CA

Active since April 21, 2016PECOS Enrolled
1524 MCHENRY AVE, MODESTO, CA 95350(209) 722-4842 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Jun 17, 2025, Dec 16, 2024 and 1 more (4 updates tracked since 2019).

About Carlo Fernandes D.o NPPES

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

CARLO FERNANDES D.O (NPI 1477907905) is an individual family medicine provider in Modesto, California, licensed in California (20A17851) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477907905
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCARLO FERNANDESCredential: D.O
Location Address1524 MCHENRY AVEModesto, CA 95350-4500
Mailing Address7916 Lake StRiver Forest, IL 60305-1711 · (708) 567-0007
Phone(209) 722-4842
Sole ProprietorNo
Enumeration DateApril 21, 2016
Last NPPES UpdateOctober 1, 20264 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1477907905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · 20A17851✔ Licensed in MI · 5101022830
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.
1524 MCHENRY AVE, Modesto, CA 95350
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12313 E Hill RdGrand Blanc, MI 48439-5059 · Phone (810) 496-0900 · Fax (810) 695-6497
Location 23031 W Grand Blvd, Suite 450Detroit, MI 48202-3046 · Phone (708) 567-0007

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlo Fernandes D.o 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 Reassignments

2

Medicare enrollment records show Carlo Fernandes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Circle Medical Care Of California
77 mi
Family Medicine
333 1ST ST STE A
San Francisco, CA 94105
  • Reassigned Medicare billing, California enrollment
  • 178 clinicians in this Medicare group
NPI 1134596091 (888) 803-3370
Last Frontier Healthcare District
265 mi
Critical Access
1111 N NAGLE ST
Alturas, CA 96101
  • Reassigned Medicare billing, California enrollment
  • 36 clinicians in this Medicare group
NPI 1487669032 (530) 708-8800

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 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

ROBERT RALPH ANDERSON M.D.
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE, SUITE 100
MODESTO, CA 95350
Stanislaus County (209) 577-4444
KEVIN TAE IL WHANG M.D.
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 577-4444
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF MODESTO
Pediatrics
1524 MCHENRY AVE, 570
MODESTO, CA 95350
Stanislaus County (209) 572-3880
HARVEY F PALITZ MD A PROFESSIONAL CORPORATION
Obstetrics & Gynecology
1524 MCHENRY AVE, SUITE 405
MODESTO, CA 95350
Stanislaus County (209) 575-5885
PAUL JONATHAN RAMIREZ M.D.
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE, SUITE 430
MODESTO, CA 95350
Stanislaus County (209) 577-4444
MICHAEL R. KLIEGER MD
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE, SUITE 100
MODESTO, CA 95350
Stanislaus County (209) 571-6622
MATTHEW DAVID LYNN M.D.
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE, SUITE 100
MODESTO, CA 95350
Stanislaus County (209) 577-4444
SARGON BEBLA MD INC
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1524 MCHENRY AVE, SUITE 370
MODESTO, CA 95350
Stanislaus County (315) 299-8150

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 Carlo Fernandes's NPI number?

The NPI number for Carlo Fernandes is 1477907905. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Carlo Fernandes located?

Carlo Fernandes practices at 1524 Mchenry Ave, Modesto, CA 95350. The listed phone number is (209) 722-4842.

What is Carlo Fernandes's specialty?

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

Is Carlo Fernandes enrolled in Medicare?

Yes. Carlo Fernandes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carlo Fernandes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlo Fernandes reassigns Medicare benefits to 2 organizations: Circle Medical Care Of California (San Francisco, CA) and Last Frontier Healthcare District (Alturas, CA). 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 Carlo Fernandes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlo Fernandes accept?

Health plans from Blue Cross and Blue Shield of Texas list Carlo Fernandes 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 Carlo Fernandes was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.