CARLOS A PLATA M.D.
NPI 1508872029
Internal Medicine - Rheumatology in Amarillo, TX

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1215 S COULTER ST, SUITE 401, AMARILLO, TX 79106(806) 356-2280 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carlos A Plata M.d. NPPES

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

CARLOS A PLATA M.D. (NPI 1508872029) is an individual rheumatology provider in Amarillo, Texas, licensed in Texas (H8801) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1508872029
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameCARLOS A PLATACredential: M.D.
Location Address1215 S COULTER ST, SUITE 401Amarillo, TX 79106-1758
Mailing Address1215 S Coulter St, Suite 401Amarillo, TX 79106-1758 · (806) 356-2280
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 1, 2006
Last NPPES UpdateAugust 20, 2007
NPI 1508872029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TX · H8801
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License H8801 (TX)
1215 S COULTER ST, Amarillo, TX 79106

Other Names 1

Former Name (1)Carlos A Plata-bernal M.d.

Other Identifiers 4

Other0046CJTX · Bluecross And Blueshield
Medicare UPINE51598
OtherP00062220TX · Medicare Railroad
Medicare ID-Type Unspecified8254N0TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carlos A Plata M.d. 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 ID1456492230
PECOS Enrollment IDI20091231000343
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.

Areas of Expertise CMS Part B claims 41

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, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
24,450 services25 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
11,575 services16 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
5,880 services61 patients
Red blood cell sedimentation rate, to detect inflammation, automated 85652
The Red Blood Cell Sedimentation Rate is a test that helps detect inflammation in the body. It's automated, meaning a machine does the work. This test measures how fast red blood cells settle at the bottom of a tube in an hour. A faster rate may indicate inflammation.
1,079 services427 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.
1,061 services429 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
978 services408 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79106 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1215 S COULTER ST, STE 400
AMARILLO, TX 79106
Internal Medicine (Nephrology)
1215 S COULTER ST, STE 404
AMARILLO, TX 79106
Internal Medicine
1215 S COULTER ST, SUITE #301
AMARILLO, TX 79106
Internal Medicine (Nephrology)
1215 S COULTER ST, STE 404
AMARILLO, TX 79106
Nurse Practitioner (Family)
1215 S COULTER ST, SUITE 301
AMARILLO, TX 79106
Nurse Practitioner (Acute Care)
1215 S COULTER ST, SUITE #301
AMARILLO, TX 79106
Surgery
1215 S COULTER ST, SUITE 201
AMARILLO, TX 79106
Registered Nurse
1215 S COULTER ST, SUITE 100
AMARILLO, TX 79106

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 Plata's NPI number?

The NPI number for Carlos Plata is 1508872029. It was assigned to this individual provider in the NPPES registry on August 1, 2006. The provider is also known as Carlos A Plata-Bernal M.D..

Where is Carlos Plata located?

Carlos Plata practices at 1215 S Coulter St Suite 401, Amarillo, TX 79106. The listed phone number is (806) 356-2280.

What is Carlos Plata's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Carlos Plata enrolled in Medicare?

Yes. Carlos Plata 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.

What insurance does Carlos Plata 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 3 other insurers list Carlos Plata 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 Carlos Plata was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.