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MR. CARLTON J ROJAS NP
NPI 1760770028
Nurse Practitioner in Tyler, TX

Active since July 20, 2011PECOS EnrolledAccepts Medicare Assignment
800 E DAWSON ST, TYLER, TX 75701(903) 525-1914 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2024, Jan 3, 2017, Nov 7, 2016 and 4 more (7 updates tracked since 2016).

About Mr. Carlton J Rojas Np NPPES

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

MR. CARLTON J ROJAS NP (NPI 1760770028) is an individual nurse practitioner in Tyler, Texas, licensed in Texas (AP120648) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1760770028
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. CARLTON J ROJASCredential: NP
Location Address800 E DAWSON STTyler, TX 75701-2036
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400
Phone(903) 525-1914
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 20, 2011
Last NPPES UpdateMarch 6, 20247 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1760770028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP120648
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
800 E DAWSON ST, Tyler, TX 75701
Open in Google Maps ↗

Secondary Practice Locations 4

Location 118780 Interstate 20Canton, TX 75103-3593 · Phone (903) 567-7748
Location 22026 S Jackson StJacksonville, TX 75766-5822 · Phone (903) 541-4500
Location 3115 Airport RdSulphur Springs, TX 75482-2105 · Phone (903) 885-7671
Location 48389 S Broadway AveTyler, TX 75703-5408 · Phone (903) 606-6500

Other Identifiers 14

Medicaid288249020TX
Other8461NYTX · Bcbs
OtherP01719544TX · Rail Road Medicare
OtherP01502514TX · Rail Road
Other710892TX · Tx Nursing License
Medicaid288249013TX
Other75-0818167-048TX · Tricare
Other8012NQTX · Bcbs
Other8460NYTX · Bcbs
Medicaid288249015TX
Medicaid288249021TX
Other75-1976930-005TX · Tricare
Other75-2616977-042TX · Tricare
OtherP01731691TX · Rail Road Medicare

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, HMO Louisiana 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

Mr. Carlton J Rojas 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 ID7315119377
PECOS Enrollment IDI20111017000641
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
39 services38 patients

Hospital Affiliations CMS Care Compare

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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…
99%202 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.

KIRBY KILE CRNA
Anesthesiology
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 593-8441
MR. BLAKE ALLEN LONG RN
Registered Nurse (Registered Nurse First Assistant)
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 593-8441
DAVID A BRICKEY DO
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 525-1914
DR. ESMAEL FANTAW YIMER MD
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 606-7264
SALEEM ZAIDI M.D.
Anesthesiology (Critical Care Medicine)
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 606-5864
DR. JAMES MICHAEL WILSON MD, MPH
Emergency Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 525-1914
DR. SAILAJA SAKAM M.D.
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 606-4129
JAMES BLAKE KNUTSON MD
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 510-1186

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 Carlton Rojas's NPI number?

The NPI number for Carlton Rojas is 1760770028. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Carlton Rojas located?

Carlton Rojas practices at 800 E Dawson St, Tyler, TX 75701. The listed phone number is (903) 525-1914.

What is Carlton Rojas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carlton Rojas enrolled in Medicare?

Yes. Carlton Rojas 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 Carlton Rojas accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, HMO Louisiana and Oscar Insurance Company list Carlton Rojas 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 Carlton Rojas affiliated with any hospitals?

According to CMS data, Carlton Rojas is affiliated with Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for Carlton Rojas was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.