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CARLOS ENRIQUE FALCON M.D.
NPI 1629200852
Obstetrics & Gynecology in San Antonio, TX

Active since August 21, 2009PECOS EnrolledAccepts Medicare Assignment
8210 CALLAGHAN RD, SAN ANTONIO, TX 78230(210) 233-7000(210) 434-1704 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2019, Aug 8, 2017, May 12, 2017 (3 updates tracked since 2017).

About Carlos Enrique Falcon M.d. NPPES

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

CARLOS ENRIQUE FALCON M.D. (NPI 1629200852) is an individual obstetrics & gynecology provider in San Antonio, Texas, licensed in Texas (R3075) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Elkhart, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1629200852
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameCARLOS ENRIQUE FALCONCredential: M.D.
Location Address8210 CALLAGHAN RDSan Antonio, TX 78230
Mailing Address3066 E Commerce StSan Antonio, TX 78220-1013 · (210) 233-7000 · Fax (210) 434-1704
Phone(210) 233-7000
Fax(210) 434-1704
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 21, 2009
Last NPPES UpdateSeptember 24, 20193 updates tracked since enumeration
✔ NPI 1629200852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in TX · R3075✔ Licensed in IN · 01073371A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
8210 CALLAGHAN RD, San Antonio, TX 78230
Open in Google Maps ↗

Secondary Practice Location 1

Location 11215 Lawn Ave Ste 100Elkhart, IN 46514-2450 · Phone (574) 293-2893 · Fax (574) 293-1298

Other Identifiers 3

Medicaid201222060IN
Other236040090IN · Medicare Ptan
Other56580014IN · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community First and more.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

Carlos Enrique Falcon 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 ID8628208550
PECOS Enrollment IDI20140220000692
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

8

Medicare enrollment records show Carlos Falcon reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Ob-Gyn Of Texas LLC
1.5 mi
Obstetrics & Gynecology
4458 MEDICAL DR STE 450
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 33 clinicians in this Medicare group
NPI 1225807530 (210) 440-4149
University Of Texas Health Science Center At San Antonio
1.6 mi
Clinical Pathology/Laboratory Medicine
7703 FLOYD CURL DR RM 327B
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 2,397 clinicians in this Medicare group
NPI 1396717989 (210) 450-9000
Lone Star Ob/Gyn Associates, P.A.
1.6 mi
Obstetrics & Gynecology
7950 FLOYD CURL DR, SUITE 300 & 400
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 64 clinicians in this Medicare group
NPI 1063441921 (210) 615-6505
Synergy Healthcare Associates, PLLC
5.8 mi
Gynecology
14100 SAN PEDRO AVE STE 200
San Antonio, TX 78232
  • Reassigned Medicare billing, Texas enrollment
  • 67 clinicians in this Medicare group
NPI 1356584544 (210) 653-5501
Westover Hills Women's Health PA
11 mi
Obstetrics & Gynecology
7430 BARLITE BLVD STE 105
San Antonio, TX 78224
  • Reassigned Medicare billing, Texas enrollment
  • 31 clinicians in this Medicare group
NPI 1477765824 (210) 922-2727
Bsz Medical, P.A.
38 mi
Family Medicine
1746 W GOODWIN ST
Pleasanton, TX 78064
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Bsz Medical PA
  • 19 clinicians in this Medicare group
NPI 1285934075 (830) 268-5040
Obhg Texas Holdings, P.A.
80 mi
Obstetrics & Gynecology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Obhg Texas Holdings PA
  • 998 clinicians in this Medicare group
NPI 1083917769 (800) 967-2289
Rosebud Indian Health Service
958 mi
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
NPI 1194757369 (605) 747-3245

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 78230 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 17

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

NATALIE EBROM RDN
Dietitian, Registered
8210 CALLAGHAN RD
SAN ANTONIO, TX 78230
Bexar County (210) 801-8986
DANIELA ROMULA NAVARRO M.A., LPC, LCDC
Counselor (Professional)
8210 CALLAGHAN RD
SAN ANTONIO, TX 78230
Bexar County (210) 233-7000
DR. JOHN MICHAEL RAMIREZ DO
Family Medicine
8210 CALLAGHAN RD
SAN ANTONIO, TX 78230
Bexar County (210) 233-7000
AMELIA CLEVELAND-TRAYLOR M.D.
Obstetrics & Gynecology
8210 CALLAGHAN RD
SAN ANTONIO, TX 78230
Bexar County (210) 233-7000
HANNAH REASONER MADDEN PA-C
Physician Assistant
8210 CALLAGHAN RD
SAN ANTONIO, TX 78230
Bexar County (210) 233-7000
PATRICIA ROSARIO HUGHES JUAREZ MD
Pediatrics
8210 CALLAGHAN RD
SAN ANTONIO, TX 78230
Bexar County (210) 233-7000
KIM MARIE HINOJOSA FNP-C
Nurse Practitioner (Family)
8210 CALLAGHAN RD
SAN ANTONIO, TX 78230
Bexar County (210) 233-7000
MARIO CRISTOBAL ERES FNP-BC
Nurse Practitioner (Family)
8210 CALLAGHAN RD
SAN ANTONIO, TX 78230
Bexar County (210) 233-7000

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 Falcon's NPI number?

The NPI number for Carlos Falcon is 1629200852. It was assigned to this individual provider in the NPPES registry on August 21, 2009.

Where is Carlos Falcon located?

Carlos Falcon practices at 8210 Callaghan Rd, San Antonio, TX 78230. The listed phone number is (210) 233-7000.

What is Carlos Falcon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Carlos Falcon enrolled in Medicare?

Yes. Carlos Falcon 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 organizations bill Medicare for Carlos Falcon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Falcon reassigns Medicare benefits to 8 organizations: Premier Ob-Gyn Of Texas LLC (San Antonio, TX), University Of Texas Health Science Center At San Antonio (San Antonio, TX), Lone Star Ob/Gyn Associates, P.A. (San Antonio, TX), Synergy Healthcare Associates, PLLC (San Antonio, TX), Westover Hills Women's Health PA (San Antonio, TX) and 3 more organizations, listed in the Medicare section above. 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 Carlos Falcon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Falcon accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community First and Imperial Insurance Companies, Inc. list Carlos Falcon 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 Falcon was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.