1. Home
  2. Directory
  3. Texas
  4. Austin
  5. Family Medicine
  6. NPI Profile

CARLOS ATORE
NPI 1952745036
Family Medicine in Austin, TX

Active since April 19, 2013PECOS EnrolledAccepts Medicare Assignment
815 BRAZOS ST, SUITE 701, AUSTIN, TX 78701(512) 828-6997 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carlos Atore NPPES

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

CARLOS ATORE (NPI 1952745036) is an individual family medicine provider in Austin, Texas, licensed in Texas (Q9117) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Providence Mount Carmel Hospital, and is a graduate of Albany Medical College Of Union University (2013).

NPPES Registry Identity

NPI1952745036
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCARLOS ATORE
Location Address815 BRAZOS ST, SUITE 701Austin, TX 78701-2562
Mailing Address815 Brazos St, Suite 701Austin, TX 78701-2562
Phone(512) 828-6997
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2013
Enumeration DateApril 19, 2013
Last NPPES UpdateNovember 22, 2016
✔ NPI 1952745036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · Q9117
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
815 BRAZOS ST, Austin, TX 78701
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Sendero Health Plans, Local Nonprofit.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

Carlos Atore 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 ID7618287137
PECOS Enrollment IDI20250326003951
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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
39 services39 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
12 services12 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number501326
Location982 East ColumbiaColville, WA 99114 · Stevens County
Emergency services Birthing friendly

Astria Sunnyside Hospital

Critical Access Hospitals · Sunnyside, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number501330
Location1016 Tacoma AvenueSunnyside, WA 98944 · Yakima County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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

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

JW NEURO, PLLC
Psychiatry & Neurology (Clinical Neurophysiology)
815 BRAZOS ST, STE A #467
AUSTIN, TX 78701
Travis County (512) 538-2176

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 Atore's NPI number?

The NPI number for Carlos Atore is 1952745036. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Where is Carlos Atore located?

Carlos Atore practices at 815 Brazos St Suite 701, Austin, TX 78701. The listed phone number is (512) 828-6997.

What is Carlos Atore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carlos Atore enrolled in Medicare?

Yes. Carlos Atore 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 Atore accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Sendero Health Plans, Local Nonprofit list Carlos Atore 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 Atore affiliated with any hospitals?

According to CMS data, Carlos Atore is affiliated with Providence Mount Carmel Hospital and Astria Sunnyside Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Atore was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.