Active NPI 1760770028 Individual Practitioner Male Practitioner

Carlton J Rojas , NP

Nurse Practitioner • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carlton Rojas, NP is a certified Nurse Practitioner practicing in Tyler, TX. With approximately 15 years of clinical experience since completing medical education in 2011, Carlton Rojas delivers high-quality medical care to the local community at 800 E DAWSON ST.

Carlton Rojas maintains professional affiliations with Northeast Texas Emergency Physicians Pllc, Northeast Texas Intensivists, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first, subsequent hospital care with moderate levelof medical decision making, if using time, at least, emergent insertion of breathing tube into windpipe cartilage using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 E Dawson St

Tyler, TX 757012036

Telephone 9035251914

Associated Practice Facility / Clinic

🏢 Mother Frances Hospital Regional Health Care Center Facility NPI 1679578439

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tyler, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +5.3 yrs vs City Avg

City Avg: 9.7 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

148 Specialists

Practicing in Tyler, TX (4894 Statewide)

Telehealth Adoption Rate

11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rojas (15 Years) 15 Yrs

Tyler Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	39	38	$1361.54	$177.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	63	62	$624.00	$177.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	25	$228.00	$95.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	64	62	$612.13	$178.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	29	$259.61	$81.48
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	13	13	$482.77	$115.63
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$731.55	$68.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	91	91	$604.00	$182.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	113	112	$591.81	$184.99
36620 Insertion of artery tube for blood sampling or infusion through skin	14	14	$183.71	$38.39
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	14	14	$649.00	$73.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	79	$1255.61	$170.59
99291 Critical care, first 30-74 minutes	41	41	$657.29	$176.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	16	$451.00	$59.76
99220 Hospital observation care, typically 70 minutes	34	34	$1161.00	$156.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	11	$622.88	$87.27
99284 Emergency department visit with moderate level of medical decision making	15	14	$1478.00	$101.16
99285 Emergency department visit for life threatening or functioning severity	12	12	$2183.00	$149.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	300	136	$650.00	$86.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	297	165	$451.00	$60.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	113	111	$1267.00	$169.16
99239 Hospital discharge day management, more than 30 minutes	111	110	$670.00	$89.05
99238 Hospital discharge day management, 30 minutes or less	69	65	$455.00	$60.49
99220 Hospital observation care, typically 70 minutes	50	49	$1161.00	$155.26
99217 Hospital observation care on day of discharge	38	38	$453.00	$60.49
99284 Emergency department visit with moderate level of medical decision making	30	28	$1412.83	$99.65
99283 Emergency department visit with low level of medical decision making	19	18	$748.74	$52.47
99285 Emergency department visit for life threatening or functioning severity	18	18	$2091.11	$146.85
99225 Subsequent observation care, typically 25 minutes per day	17	13	$453.00	$60.88
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	17	15	$101.71	$7.09
99291 Critical care, first 30-74 minutes	12	12	$1409.50	$185.93
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$635.00	$84.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	190	80	$451.00	$59.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	78	49	$650.00	$86.65
99291 Critical care, first 30-74 minutes	68	65	$601.21	$183.02
99239 Hospital discharge day management, more than 30 minutes	68	66	$670.00	$88.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	42	$1267.00	$168.40
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	24	24	$611.75	$100.14
99220 Hospital observation care, typically 70 minutes	20	20	$1161.00	$154.13
99284 Emergency department visit with moderate level of medical decision making	19	17	$1377.26	$99.26
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$635.00	$84.73
99283 Emergency department visit with low level of medical decision making	12	12	$692.67	$52.26
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	12	12	$390.17	$119.15
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$99.09	$7.06

Medical Specialties & State Licenses

CMS Verified: 2024-03-04

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP120648

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

288249021 (TX)

Medicaid State Provider ID

288249013 (TX)

Medicaid State Provider ID

288249015 (TX)

Medicaid State Provider ID

288249020 (TX)

Commercial Insurance / Payer ID Tx Nursing License

710892 (TX)

Commercial Insurance / Payer ID Tricare

75-0818167-048 (TX)

Commercial Insurance / Payer ID Bcbs

8012NQ (TX)

Commercial Insurance / Payer ID Bcbs

8460NY (TX)

Commercial Insurance / Payer ID Tricare

75-1976930-005 (TX)

Commercial Insurance / Payer ID Tricare

75-2616977-042 (TX)

Hospital & Practice Group Affiliations

Northeast Texas Intensivists, Pllc

700 E Marshall Ave, Longview, TX 756015580

Phone: 9033152000

Northeast Texas Emergency Physicians Pllc

1509 S Palestine St, Athens, TX 757518950

Phone: 9036756909

Secondary Practice Locations

18780 Interstate 20

Canton, TX 751033593

Phone: 9035677748

2026 S Jackson St

Jacksonville, TX 757665822

Phone: 9035414500

115 Airport Rd

Sulphur Springs, TX 754822105

Phone: 9038857671

8389 S Broadway Ave

Tyler, TX 757035408

Phone: 9036066500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. David Brickey , DO

Internal Medicine

NPI 1003835620

Doctor of Osteopathic Medicine (D.O.)

Dr. James Wilson , MD, MPH

Emergency Medicine

NPI 1023269172

Doctor of Medicine (M.D.), Master of Public Health

Dr. Jamil Abbasi , MD

Internal Medicine - Critical Care Medicine

NPI 1033206602

Doctor of Medicine (M.D.)

R Vandergriff , ACNP

Nurse Practitioner - Critical Care Medicine

NPI 1215230586

Dr. Lisa Gamble , MD

Internal Medicine - Pulmonary Disease

NPI 1710998232

Doctor of Medicine (M.D.)

Matthew Greene , ACNP

Nurse Practitioner

NPI 1942743547

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2024

Nurse Practitioner (License #AP120648 in TX)

✅

NPI Profile Active January 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 03, 2017

Registered at 800 E DAWSON ST, TYLER, TX 757012036 (Tel: 9035251914)

📍

Updated Business Mailing Address January 03, 2017

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246400)

👤

Provider Name / Credentials Updated January 03, 2017

Recorded as CARLTON ROJAS, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2017

Nurse Practitioner (License #710892 in TX)

🟢

Initial NPI Registration & Enumeration July 20, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760770028

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 20, 2011

Last Update: March 06, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9033246400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.