CARLOS M FLORES MD
NPI 1699881912
Internal Medicine in Springfield, MA

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
380 PLAINFIELD ST, SPRINGFIELD, MA 01107(413) 794-4458(413) 794-5131 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 16, 2019, Dec 29, 2017, May 19, 2016 (3 updates tracked since 2016).

About Carlos M Flores Md NPPES

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

CARLOS M FLORES MD (NPI 1699881912) is an individual internal medicine provider in Springfield, Massachusetts, licensed in Massachusetts (209469) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Ctr, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1699881912
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCARLOS M FLORESCredential: MD
Location Address380 PLAINFIELD STSpringfield, MA 01107-1524
Mailing Address280 Chestnut St, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700
Fax(413) 794-5131
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 21, 2006
Last NPPES UpdateJanuary 16, 20193 updates tracked since enumeration
NPI 1699881912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 209469
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 209469 (MA)
380 PLAINFIELD ST, Springfield, MA 01107

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 M Flores Md 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 ID1355375767
PECOS Enrollment IDI20050926000187
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 2

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 moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services46 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.
23 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220066
Location271 Carew StreetSpringfield, MA 01104 · Hampden County
Emergency services Birthing friendly

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$215.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 (Gerontology)
380 PLAINFIELD ST
SPRINGFIELD, MA 01107
Internal Medicine
380 PLAINFIELD ST
SPRINGFIELD, MA 01107
Nurse Practitioner (Family)
380 PLAINFIELD ST
SPRINGFIELD, MA 01107
Physician Assistant
380 PLAINFIELD ST
SPRINGFIELD, MA 01107
Nurse Practitioner (Family)
380 PLAINFIELD ST
SPRINGFIELD, MA 01107
Pharmacy (Clinic Pharmacy)
380 PLAINFIELD ST
SPRINGFIELD, MA 01107
Internal Medicine
380 PLAINFIELD ST
SPRINGFIELD, MA 01107
Pediatrics
380 PLAINFIELD ST
SPRINGFIELD, MA 01107

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 1699881912. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Carlos Flores located?

Carlos Flores practices at 380 Plainfield St, Springfield, MA 01107. The listed phone number is (413) 794-4458.

What is Carlos Flores's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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 Anthem Blue Cross and Blue Shield 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 Mercy Medical Ctr and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Carlos Flores was last updated on January 16, 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.