Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GERARDO CARLOS MD
NPI 1831170570
Obstetrics & Gynecology in Marana, AZ

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
13395 N MARANA MAIN ST, MARANA, AZ 85653(520) 682-4111(520) 682-3817 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2026, Aug 21, 2024, Jan 31, 2020 and 1 more (4 updates tracked since 2018).

About Gerardo Carlos Md NPPES

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

GERARDO CARLOS MD (NPI 1831170570) is an individual obstetrics & gynecology provider in Marana, Arizona, licensed in Arizona (15877) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1984).

NPPES Registry Identity

NPI1831170570
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameGERARDO CARLOSCredential: MD
Location Address13395 N MARANA MAIN STMarana, AZ 85653-7008
Mailing AddressPo Box 188Marana, AZ 85653-0188 · (520) 682-4111 · Fax (520) 682-3817
Fax(520) 682-3817
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1984
Enumeration DateNovember 9, 2005
Last NPPES UpdateJuly 9, 20264 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
NPI 1831170570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in AZ · 15877
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.
13395 N MARANA MAIN ST, Marana, AZ 85653

Other Identifiers 1

Medicaid275554AZ

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

Gerardo 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 ID4789749219
PECOS Enrollment IDI20090218000042
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85653 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Dental Hygienist
13395 N MARANA MAIN ST
MARANA, AZ 85653
Dental Hygienist
13395 N MARANA MAIN ST
MARANA, AZ 85653
Family Medicine
13395 N MARANA MAIN ST
MARANA, AZ 85653
Dietitian, Registered
13395 N MARANA MAIN ST
MARANA, AZ 85653
Dental Hygienist
13395 N MARANA MAIN ST
MARANA, AZ 85653
Pharmacist (Pharmacotherapy)
13395 N MARANA MAIN ST
MARANA, AZ 85653
Dentist (General Practice)
13395 N MARANA MAIN ST
MARANA, AZ 85653
Nurse Practitioner (Psychiatric/Mental Health)
13395 N MARANA MAIN ST
MARANA, AZ 85653

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 Gerardo Carlos's NPI number?

The NPI number for Gerardo Carlos is 1831170570. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Gerardo Carlos located?

Gerardo Carlos practices at 13395 N Marana Main St, Marana, AZ 85653. The listed phone number is (520) 682-4111.

What is Gerardo Carlos's specialty?

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

Is Gerardo Carlos enrolled in Medicare?

Yes. Gerardo 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.

What insurance does Gerardo Carlos accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Gerardo Carlos 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 Gerardo Carlos was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.