DR. CARLOS EDUARDO BALLESTEROS M.D.
NPI 1912384686
Obstetrics & Gynecology in San Juan, TX

Q: What is Carlos Ballesteros's NPI number?

The NPI number for Carlos Ballesteros is 1912384686. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Q: What is Carlos Ballesteros's specialty?

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

Active since May 01, 2015PECOS EnrolledAccepts Medicare Assignment

1211 N RAUL LONGORIA RD STE C, SAN JUAN, TX 78589(956) 782-7878(956) 782-7877 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Carlos Eduardo Ballesteros M.d. NPPES

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

DR. CARLOS EDUARDO BALLESTEROS M.D. (NPI 1912384686) is an individual obstetrics & gynecology provider in San Juan, Texas, licensed in Texas (S4097) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Plains Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1912384686

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. CARLOS EDUARDO BALLESTEROSCredential: M.D.

Location Address1211 N RAUL LONGORIA RD STE CSan Juan, TX 78589-3714

Mailing Address1211 N Raul Longoria Rd Ste CSan Juan, TX 78589-3714 · (956) 782-7878 · Fax (956) 782-7877

Phone(956) 782-7878

Fax(956) 782-7877

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 1, 2015

Last NPPES UpdateDecember 17, 2021

NPPES CertifiedDecember 17, 2021

✔ NPI 1912384686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · S4097

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.

1211 N RAUL LONGORIA RD STE C, San Juan, TX 78589

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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, UnitedHealthcare.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

Dr. Carlos Eduardo Ballesteros M.d. 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 ID143516179

PECOS Enrollment IDI20231116001248

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.

Hospital Affiliations CMS Care Compare

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

Plains Regional Medical Center

Acute Care Hospitals · Clovis, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320022

Location2100 N Martin Luther King, Jr, BlvdClovis, NM 88101 · Curry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78589 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 2

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

ALBERTO D DURAN M.D P.A.

Obstetrics & Gynecology

1211 N RAUL LONGORIA RD STE C
SAN JUAN, TX 78589

Hidalgo County (956) 782-7878

EDGAR A RODRIGUEZ MD PA

Obstetrics & Gynecology

1211 N RAUL LONGORIA RD STE C
SAN JUAN, TX 78589

Hidalgo County (956) 782-7878

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 Ballesteros's NPI number?

The NPI number for Carlos Ballesteros is 1912384686. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Where is Carlos Ballesteros located?

Carlos Ballesteros practices at 1211 N Raul Longoria Rd Ste C, San Juan, TX 78589. The listed phone number is (956) 782-7878.

What is Carlos Ballesteros's specialty?

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

Is Carlos Ballesteros enrolled in Medicare?

Yes. Carlos Ballesteros 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 Carlos Ballesteros accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Carlos Ballesteros 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 Carlos Ballesteros affiliated with any hospitals?

According to CMS data, Carlos Ballesteros is affiliated with Plains Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Carlos Ballesteros was last updated on December 17, 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.