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

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: October 25, 2026.

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, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Carlos Ballesteros reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alberto D Duran M.D P.A.
Same address
Obstetrics & Gynecology
1211 N RAUL LONGORIA RD STE C
San Juan, TX 78589
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1134381098 (956) 782-7878
Obhg Texas Holdings, P.A.
291 mi
Obstetrics & Gynecology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Obhg Texas Holdings PA
  • 998 clinicians in this Medicare group
NPI 1083917769 (800) 967-2289
Diana Health Tx PLLC
484 mi
Obstetrics & Gynecology
1120 RAINTREE CIR STE 280
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 56 clinicians in this Medicare group
NPI 1235999418 (972) 635-3469
Presbyterian Healthcare Services
640 mi
Rural
2100 MARTIN LUTHER KING JR BLVD
Clovis, NM 88101
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1629053509 (505) 469-7577

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

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.

Which organizations bill Medicare for Carlos Ballesteros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Ballesteros reassigns Medicare benefits to 4 organizations: Alberto D Duran M.D P.A. (San Juan, TX), Obhg Texas Holdings, P.A. (Austin, TX), Diana Health Tx PLLC (Allen, TX) and Presbyterian Healthcare Services (Clovis, NM). 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 Ballesteros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Ballesteros accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint 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.