Carlos Encarnacion, M.D.
NPI 1245273838 · Medical Oncology Physician · Waco, TX
Enrolled with Medicare as Practitioner - Medical Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carlos Encarnacion, M.D. is a Medical Oncology Physician provider in Waco, TX (NPI 1245273838).
Provider details
- NPI number
- 1245273838
- Entity type
- Individual
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- H8922 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
3,402 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 714 | $9 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 518 | $8 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 342 | $122 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 302 | $87 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 271 | $16 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Letrozole | 194 | 45 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 57 | 33 |
| Prednisone | 37 | — |
| Exemestane | 33 | — |
| Dexamethasone | 32 | 19 |
| Tamoxifen Citrate | 28 | — |
| Abiraterone Acetate | 25 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$802 across 26 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2008-07-14
Frequently asked questions
- What is Carlos Encarnacion's NPI number?
- Carlos Encarnacion's National Provider Identifier (NPI) is 1245273838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carlos Encarnacion's specialty?
- Carlos Encarnacion is listed in the NPPES registry with a primary specialty of Medical Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Carlos Encarnacion located?
- Carlos Encarnacion's practice location on file with NPPES is 1700 W Highway 6, Waco, TX 76712-2452.
- What is Carlos Encarnacion's phone number?
- The practice phone number listed in the NPPES registry for Carlos Encarnacion is (254) 399-0741.
- Does Carlos Encarnacion accept Medicare?
- Carlos Encarnacion is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carlos Encarnacion's NPI active?
- Yes — Carlos Encarnacion's NPI (1245273838) is active in the NPPES registry as of the last update on 2008-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.