KARLA DELROCIO TOLEDO-FRAZZINI MD
NPI 1770843450
Family Medicine in Austin, TX

Q: What is Karla Toledo-frazzini's NPI number?

The NPI number for Karla Toledo-frazzini is 1770843450. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Q: What is Karla Toledo-frazzini's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 29, 2012PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

11714 WILSON PARKE AVE STE 150, AUSTIN, TX 78726(512) 346-6611 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2022, Aug 15, 2019, May 12, 2016 (3 updates tracked since 2016).

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About Karla Delrocio Toledo-frazzini Md NPPES

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

KARLA DELROCIO TOLEDO-FRAZZINI MD (NPI 1770843450) is an individual family medicine provider in Austin, Texas, licensed in Texas (Q2496) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1770843450

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKARLA DELROCIO TOLEDO-FRAZZINICredential: MD

Location Address11714 WILSON PARKE AVE STE 150Austin, TX 78726-4061

Mailing Address6210 E Hwy 290Austin, TX 78723-1142

Phone(512) 346-6611

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMay 29, 2012

Last NPPES UpdateApril 30, 20253 updates tracked since enumeration

NPPES CertifiedApril 30, 2025

✔ NPI 1770843450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · Q2496✔ Licensed in TX · 1770843450

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License Q2496 (TX)

11714 WILSON PARKE AVE STE 150, Austin, TX 78726

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company 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

Karla Delrocio Toledo-frazzini 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 ID6608187901

PECOS Enrollment IDI20150612000334

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

654 services155 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

168 services81 patients

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.

72 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78726 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

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…

91%80 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.

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