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DR. CARLOS G PAXTOR M.D.
NPI 1851305031
Pediatrics in Rock Hill, SC

Active since July 27, 2006PECOS Enrolled
225 HERLONG AVE S STE 201, ROCK HILL, SC 29732(803) 327-9999(803) 327-9998 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 7, 2023, Feb 17, 2021, Jan 23, 2017 (3 updates tracked since 2017).

About Dr. Carlos G Paxtor M.d. NPPES

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

DR. CARLOS G PAXTOR M.D. (NPI 1851305031) is an individual pediatrics provider in Rock Hill, South Carolina, licensed in South Carolina (29124) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851305031
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. CARLOS G PAXTORCredential: M.D.
Location Address225 HERLONG AVE S STE 201Rock Hill, SC 29732-2168
Mailing Address225 Herlong Ave S Ste 201Rock Hill, SC 29732-2168 · (803) 327-9999 · Fax (803) 327-9998
Phone(803) 327-9999
Fax(803) 327-9998
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1851305031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 29124
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
225 HERLONG AVE S STE 201, Rock Hill, SC 29732
Open in Google Maps ↗

Other Identifiers 1

OtherTL29124SC · State License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carlos G Paxtor M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Carlos Paxtor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Scotland Memorial Hospital, Inc.
80 mi
Surgery
1007 CHERAW ST
Bennettsville, SC 29512
  • Reassigned Medicare billing, North Carolina enrollment
  • 476 clinicians in this Medicare group
NPI 1598143620 (843) 535-0939
The Regional Medical Center Of Orangeburg And Calhoun Counties
99 mi
Endocrinology, Diabetes & Metabolism
1175 COOK RD STE 145
Orangeburg, SC 29118
  • Reassigned Medicare billing, South Carolina enrollment
  • 94 clinicians in this Medicare group
NPI 1750713038 (803) 395-3891
Musc Community Physicians
114 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 2

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

MR. CARLOS ANDRES PAXTOR FNP
Nurse Practitioner (Family)
225 HERLONG AVE S STE 201
ROCK HILL, SC 29732
York County (803) 327-9999
CAROLINA PEDIATRICS AT ROCK HILL LLC
Pediatrics
225 HERLONG AVE S STE 201
ROCK HILL, SC 29732
York County (803) 327-9999

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 Paxtor's NPI number?

The NPI number for Carlos Paxtor is 1851305031. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Carlos Paxtor located?

Carlos Paxtor practices at 225 Herlong Ave S Ste 201, Rock Hill, SC 29732. The listed phone number is (803) 327-9999.

What is Carlos Paxtor's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carlos Paxtor enrolled in Medicare?

Yes. Carlos Paxtor is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carlos Paxtor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Paxtor reassigns Medicare benefits to 3 organizations: Scotland Memorial Hospital, Inc. (Bennettsville, SC), The Regional Medical Center Of Orangeburg And Calhoun Counties (Orangeburg, SC) and Musc Community Physicians (Bamberg, SC). 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 Carlos Paxtor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Paxtor accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 4 other insurers list Carlos Paxtor 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 Carlos Paxtor was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.