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ELADIO CARRERA M.D.
NPI 1508967605
Internal Medicine - Gastroenterology in Las Vegas, NV

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
98.16/100
CMS Quality Rating
3150 N TENAYA WAY, SUITE 525, LAS VEGAS, NV 89128(702) 220-9865(702) 251-8196 Get Directions Write a Review

NPPES record last updated: April 15, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eladio Carrera M.d. NPPES

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

ELADIO CARRERA M.D. (NPI 1508967605) is an individual gastroenterology provider in Las Vegas, Nevada, licensed in Nevada (5165) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Summerlin Hospital Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1980).

NPPES Registry Identity

NPI1508967605
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameELADIO CARRERACredential: M.D.
Location Address3150 N TENAYA WAY, SUITE 525Las Vegas, NV 89128-0443
Mailing AddressPo Box 34795Las Vegas, NV 89133-4795 · (702) 220-9865 · Fax (702) 251-8196
Phone(702) 220-9865
Fax(702) 251-8196
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1980
Enumeration DateSeptember 25, 2006
Last NPPES UpdateApril 15, 2015
✔ NPI 1508967605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NV · 5165
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3150 N TENAYA WAY, Las Vegas, NV 89128
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Other Identifiers 2

Medicaid1508967605NV
Medicare PINCM262YNV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.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

Eladio Carrera 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 ID7719879683
PECOS Enrollment IDI20091202000364
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 Eladio Carrera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Digestive Associates LLP
7.4 mi
Gastroenterology
2031 MCDANIEL ST STE 140
North Las Vegas, NV 89030
  • Reassigned Medicare billing, Nevada enrollment
  • 15 clinicians in this Medicare group
NPI 1629242698 (702) 633-0207

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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
122 services83 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
104 services73 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services63 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
78 services72 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Summerlin Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290041
Location657 Town Center DriveLas Vegas, NV 89144 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

98.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.51
Promoting Interoperability95
Improvement Activities40
Cost87.18

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
54%181 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%91 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,745 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
62%270 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%121 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
27%335 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
62%167 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
3%38 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
91%505 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
94%335 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MRS. COURTNEY MICHAELENE SMITH MA
Audiologist
3150 N TENAYA WAY, SUITE 112
LAS VEGAS, NV 89128
Clark County (702) 562-1777
CHINO MD LTD
Surgery (Vascular Surgery)
3150 N TENAYA WAY, STE 560
LAS VEGAS, NV 89128
Clark County (702) 233-8346
LORI O'TOOLE NP
Internal Medicine (Cardiovascular Disease)
3150 N TENAYA WAY, SUITE320
LAS VEGAS, NV 89128
Clark County (702) 240-6482
RICHARD WAYNE KLATT DO
Pediatrics
3150 N TENAYA WAY, STE 255
LAS VEGAS, NV 89128
Clark County (702) 870-2099
DR. WILLIAM H RESH MD
Internal Medicine (Cardiovascular Disease)
3150 N TENAYA WAY, SUITE 320
LAS VEGAS, NV 89128
Clark County (702) 240-6482
MRS. DANIELLE E. KNOEPPEL MS
Audiologist
3150 N TENAYA WAY, #140
LAS VEGAS, NV 89128
Clark County (702) 671-6481
DR. GREGORY A KAPELA DDS
Dentist (General Practice)
3150 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 869-0369
ANTONIO MARTIN FLORES ERAZO MD
Internal Medicine (Pulmonary Disease)
3150 N TENAYA WAY, SUITE 125
LAS VEGAS, NV 89128
Clark County (702) 869-0855

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 Eladio Carrera's NPI number?

The NPI number for Eladio Carrera is 1508967605. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Eladio Carrera located?

Eladio Carrera practices at 3150 N Tenaya Way Suite 525, Las Vegas, NV 89128. The listed phone number is (702) 220-9865.

What is Eladio Carrera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Eladio Carrera enrolled in Medicare?

Yes. Eladio Carrera 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 organization bills Medicare for Eladio Carrera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eladio Carrera reassigns Medicare benefits to Digestive Associates LLP (North Las Vegas, NV). 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 Eladio Carrera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eladio Carrera accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Eladio Carrera 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 Eladio Carrera affiliated with any hospitals?

According to CMS data, Eladio Carrera is affiliated with Summerlin Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Eladio Carrera was last updated on April 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.