MR. CARLOS R FLORES JR. P.A.
NPI 1609856129
Physician Assistant in Houston, TX

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
6560 FANNIN ST, SUITE 900, HOUSTON, TX 77030(713) 441-3800 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Carlos R Flores Jr. P.a. NPPES

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

MR. CARLOS R FLORES JR. P.A. (NPI 1609856129) is an individual physician assistant in Houston, Texas, licensed in Texas (PA03702) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Hays, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1609856129
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CARLOS R FLORES JR.Credential: P.A.
Location Address6560 FANNIN ST, SUITE 900Houston, TX 77030-2761
Mailing Address6560 Fannin St, Suite 900Houston, TX 77030-2761 · (713) 441-3800
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 19, 2006
Last NPPES UpdateApril 27, 2015
NPI 1609856129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA03702
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6560 FANNIN ST, Houston, TX 77030

Other Identifiers 4

Medicare PIN345202ZGSGTX
Medicare PINTXB137811TX
Medicare PIN400694YMVQTX
Other1609856129TX · Blue Cross Blue Shield

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

Mr. Carlos R Flores Jr. P.a. 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 ID2860598679
PECOS Enrollment IDI20070510000270
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

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.

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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Advance Care Plan
20%59 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
13%253 patients1/55-star benchmark: 100%
HIV Screening
10%21 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
22%23 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
12%26 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
10%73 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 82% · 186 patients
Patients screened: 95% · 186 patients
11%27 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
81%98 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.

Nurse Practitioner
6560 FANNIN ST, STE 1260
HOUSTON, TX 77030
Ophthalmology
6560 FANNIN ST, STE 750
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6560 FANNIN ST, STE 802
HOUSTON, TX 77030
Internal Medicine
6560 FANNIN ST, SUITE 1012
HOUSTON, TX 77030
Internal Medicine (Infectious Disease)
6560 FANNIN ST, SUITE 1540
HOUSTON, TX 77030
Physician Assistant
6560 FANNIN ST, SUITE 1842
HOUSTON, TX 77030
Surgery
6560 FANNIN ST, STE 1608
HOUSTON, TX 77030
Internal Medicine
6560 FANNIN ST, SUITE 1112
HOUSTON, TX 77030

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 Flores's NPI number?

The NPI number for Carlos Flores is 1609856129. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Carlos Flores located?

Carlos Flores practices at 6560 Fannin St Suite 900, Houston, TX 77030. The listed phone number is (713) 441-3800.

What is Carlos Flores's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carlos Flores enrolled in Medicare?

Yes. Carlos Flores 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 Flores 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 Flores 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 Carlos Flores affiliated with any hospitals?

According to CMS data, Carlos Flores is affiliated with Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Carlos Flores was last updated on April 27, 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.