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GUILLERMO MARTIN FUENTES D.O.
NPI 1962599571
Family Medicine in Carrollton, TX

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
1205 N JOSEY LN, CARROLLTON, TX 75006(972) 242-2726(972) 242-5266 Get Directions Write a Review

NPPES record last updated: March 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Guillermo Martin Fuentes D.o. NPPES

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

GUILLERMO MARTIN FUENTES D.O. (NPI 1962599571) is an individual family medicine provider in Carrollton, Texas, licensed in Texas (K8749) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (1996).

NPPES Registry Identity

NPI1962599571
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGUILLERMO MARTIN FUENTESCredential: D.O.
Location Address1205 N JOSEY LNCarrollton, TX 75006-6145
Mailing Address1205 N Josey LnCarrollton, TX 75006-6145 · (972) 242-2726 · Fax (972) 242-5266
Phone(972) 242-2726
Fax(972) 242-5266
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1996
Enumeration DateOctober 6, 2006
Last NPPES UpdateMarch 16, 2009
✔ NPI 1962599571 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 · K8749
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.
1205 N JOSEY LN, Carrollton, TX 75006
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Other Identifiers 8

Other039181502TX · Tpi
Other9818TX · Parkland Id
OtherK8749TX · Tx-license
Medicare UPING63903TX
Other10031886TX · Amerigroup
Other7327110TX · Aetna Id
Other8F0700TX · Bluecrossblueshield
Medicaid147634301TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Guillermo Martin Fuentes D.o. 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 ID9133290042
PECOS Enrollment IDI20121011000694
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
101 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
62 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75006 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 3

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

ANNIE ABRAHAM FNP
Nurse Practitioner (Family)
1205 N JOSEY LN
CARROLLTON, TX 75006
Dallas County (972) 242-2726
FAMILY CARE MEDICAL CENTER
Clinic/Center
1205 N JOSEY LN
CARROLLTON, TX 75006
Dallas County (972) 242-2726
STACHIA AIKEN
Nurse Practitioner (Family)
1205 N JOSEY LN
CARROLLTON, TX 75006
Dallas County (972) 242-2726

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 Guillermo Fuentes's NPI number?

The NPI number for Guillermo Fuentes is 1962599571. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Guillermo Fuentes located?

Guillermo Fuentes practices at 1205 N Josey Ln, Carrollton, TX 75006. The listed phone number is (972) 242-2726.

What is Guillermo Fuentes's specialty?

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

Is Guillermo Fuentes enrolled in Medicare?

Yes. Guillermo Fuentes 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 Guillermo Fuentes accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Guillermo Fuentes 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 Guillermo Fuentes was last updated on March 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.