1. Home
  2. Directory
  3. Texas
  4. Sugar Land
  5. Nurse Practitioner
  6. NPI Profile

CARLOS E BUFORD NP
NPI 1568629970
Nurse Practitioner - Family in Sugar Land, TX

Active since May 22, 2008PECOS EnrolledAccepts Medicare Assignment
11529 S HIGHWAY 6, SUGAR LAND, TX 77498(713) 461-2915(713) 461-5307 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carlos E Buford Np NPPES

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

CARLOS E BUFORD NP (NPI 1568629970) is an individual family provider in Sugar Land, Texas, licensed in Texas (AP115212) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1568629970
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCARLOS E BUFORDCredential: NP
Location Address11529 S HIGHWAY 6Sugar Land, TX 77498-4932
Mailing AddressPo Box 392929 1456Pittsburgh, PA 15251-0001 · (713) 461-2915 · Fax (713) 461-5307
Phone(713) 461-2915
Fax(713) 461-5307
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 22, 2008
Last NPPES UpdateJuly 7, 2023
NPPES CertifiedJuly 7, 2023
✔ NPI 1568629970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP115212
Also ListedNurse PractitionerTaxonomy 363L00000X · License 753580 (TX)
11529 S HIGHWAY 6, Sugar Land, TX 77498
Open in Google Maps ↗

Secondary Practice Location 1

Location 17373 Ardmore St, 1456Houston, TX 77054-4213 · Phone (601) 807-2344 · Fax (713) 798-1144

Other Identifiers 1

Medicaid1950693-02TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 E Buford Np 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 ID7012089816
PECOS Enrollment IDI20080711000097
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 11

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 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.
71 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services19 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
17 services16 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
17 services16 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
17 services16 patients
Thyroid hormone, t3 measurement, free 84481
The T3 measurement, free, is a blood test that checks the level of a hormone called triiodothyronine. This hormone is produced by your thyroid, a small gland in your neck. It plays a key role in regulating your body's metabolism and energy use.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77498 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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%183 patients5/55-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…
100%197 patients5/55-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 2

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

DR. SUNITHA RAO AYYAR MD
Internal Medicine
11529 S HIGHWAY 6
SUGAR LAND, TX 77498
Fort Bend County (832) 376-3921
DR. FROILAN MARTIN FRANCISCO M.D.
Internal Medicine
11529 S HIGHWAY 6
SUGAR LAND, TX 77498
Fort Bend County (713) 461-2915

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 Buford's NPI number?

The NPI number for Carlos Buford is 1568629970. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Carlos Buford located?

Carlos Buford practices at 11529 S Highway 6, Sugar Land, TX 77498. The listed phone number is (713) 461-2915.

What is Carlos Buford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carlos Buford enrolled in Medicare?

Yes. Carlos Buford 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 Buford 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 Carlos Buford 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 Buford was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.