CARLOS JULIAN GAONA MD
NPI 1942568910
Surgery in Frisco, TX
About Carlos Julian Gaona Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLOS JULIAN GAONA MD (NPI 1942568910) is an individual surgery provider in Frisco, Texas, licensed in Texas (R3845) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and maintains a secondary practice location in Dallas.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Carlos Julian Gaona 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.
Medicare Billing Reassignment
Medicare enrollment records show Carlos Gaona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Plano, TX 75024
- Reassigned Medicare billing, Texas enrollment
- 3,167 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baylor University Medical Center
Acute Care Hospitals · Dallas, TXBaylor Scott & White Medical Center - Centennial
Acute Care Hospitals · Frisco, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gaona's NPI number?
The NPI number for Carlos Gaona is 1942568910. It was assigned to this individual provider in the NPPES registry on April 27, 2012.
Where is Carlos Gaona located?
Carlos Gaona practices at 4401 Coit Rd Ste 405, Frisco, TX 75035. The listed phone number is (469) 800-4115.
What is Carlos Gaona's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Carlos Gaona enrolled in Medicare?
Yes. Carlos Gaona 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 organization bills Medicare for Carlos Gaona's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Gaona reassigns Medicare benefits to Healthtexas Provider Network (Plano, TX). The 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 Gaona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlos Gaona accept?
Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Carlos Gaona 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 Gaona affiliated with any hospitals?
According to CMS data, Carlos Gaona is affiliated with Baylor University Medical Center and Baylor Scott & White Medical Center - Centennial.
When was this NPI record last updated?
The NPPES record for Carlos Gaona was last updated on March 31, 2022. 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.
# Carlos Julian Gaona, MD · NPI 1942568910
Surgery physician in Frisco, Texas. Individual provider, active in the CMS NPPES registry since April 27, 2012.
## Identity
- **NPI:** 1942568910 (Entity type: Individual)
- **Enumerated:** April 27, 2012
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** R3845 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4401 COIT RD STE 405, Frisco, TX 75035-0517
- **Phone:** (469) 800-4115
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Healthtexas Provider Network (NPI 1124809512, Plano, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At San Antonio, class of 2012
## Record status
- **NPPES last updated:** March 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1942568910) · Data from the CMS NPPES public registry.