BRIAN D. CARLOS MD
NPI 1730127515
Internal Medicine - Cardiovascular Disease in Encinitas, CA

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
320 SANTA FE DR, SUITE 204, ENCINITAS, CA 92024(760) 944-7300(760) 633-3949 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brian D. Carlos Md NPPES

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

BRIAN D. CARLOS MD (NPI 1730127515) is an individual cardiovascular disease provider in Encinitas, California, licensed in District Of Columbia (MD21044) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1730127515
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameBRIAN D. CARLOSCredential: MD
Location Address320 SANTA FE DR, SUITE 204Encinitas, CA 92024-5138
Mailing AddressPo Box 230757Encinitas, CA 92023-0757 · (760) 944-7300 · Fax (760) 633-3949
Fax(760) 633-3949
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJune 3, 2006
Last NPPES UpdateDecember 8, 2021
✔ NPI 1730127515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in DC · MD21044
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
320 SANTA FE DR, Encinitas, CA 92024

Other Identifiers 4

Medicaid00C522200CA
Medicaid5822351VA
Medicaid856421300MD
Medicaid025550900DC

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

Brian D. Carlos 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 ID547365207
PECOS Enrollment IDI20070425000315
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

2

Medicare enrollment records show Brian Carlos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
354 SANTA FE DR
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 1,598 clinicians in this Medicare group
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

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 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.

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.
17 services12 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 20

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

Nurse Practitioner
320 SANTA FE DR, SUITE 204
ENCINITAS, CA 92024
Physician Assistant
320 SANTA FE DR, STE. 300
ENCINITAS, CA 92024
Specialist
320 SANTA FE DR, STE LL4
ENCINITAS, CA 92024
Specialist
320 SANTA FE DR, SUITE 310
ENCINITAS, CA 92024
Dermatology
320 SANTA FE DR, SUITE 310
ENCINITAS, CA 92024
Internal Medicine
320 SANTA FE DR, SUITE 308
ENCINITAS, CA 92024
Orthopaedic Surgery
320 SANTA FE DR, 301
ENCINITAS, CA 92024
Internal Medicine (Cardiovascular Disease)
320 SANTA FE DR, SUITE 204
ENCINITAS, CA 92024

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 Brian Carlos's NPI number?

The NPI number for Brian Carlos is 1730127515. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Brian Carlos located?

Brian Carlos practices at 320 Santa Fe Dr Suite 204, Encinitas, CA 92024. The listed phone number is (760) 944-7300.

What is Brian Carlos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Brian Carlos enrolled in Medicare?

Yes. Brian Carlos 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 Brian Carlos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Carlos reassigns Medicare benefits to 2 organizations: Scripps Health (Encinitas, CA) and Southern California Permanente Medical Group (San Diego, CA). 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 Brian Carlos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Carlos was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.