What is Carlos Encarnacion's specialty?

Carlos Encarnacion (NPI 1245273838) is a Medicare-billing provider whose primary specialty is Medical Oncology in Waco, TX.

Where does Carlos Encarnacion practice?

Carlos Encarnacion practices in Waco, TX, based on the location reported in the CMS Medicare provider datasets for NPI 1245273838.

How much does Medicare pay Carlos Encarnacion?

Carlos Encarnacion (NPI 1245273838) received approximately $1.3M in total Medicare Part B payments, serving 337 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1245273838

Carlos EncarnacionM.D.

Medical OncologyWaco, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,379

Unique beneficiaries

—

Total services

24,495

Distinct HCPCS

Medicare payment

$152K

Peer benchmark

Total Medicare services vs. 393 Medical Oncology providers in TX — top quintile (cohort median 4,999).

PRESCRIBING · PART D · 2024

Total Rx claims

530

Beneficiaries

—

Total drug cost

$60K

Distinct drugs

Brand share

12.8%

Top prescribed drugs

Letrozole194 claims

Hydrocodone/Acetaminophen57 claims

Prednisone37 claims

Exemestane33 claims

Dexamethasone32 claims

QUALITY · MIPS · 2024

Final MIPS score

85.1

Quality

67.5

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.43%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$802

Payment records

By payment type

Food and Beverage$787

Education$16

Top paying entities

Food and Beverage$787

Education$16

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Carlos Encarnacion's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 26 inbound referrers · 48 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ASCENSION PROVIDENCE	181	1,445
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	62	281
Kathleen Patton Diagnostic Radiology · Waco, TX	49	173
Adam Borowski Diagnostic Radiology · Longview, TX	37	194
Nathan Forrest Diagnostic Radiology · Waco, TX	31	112
Dennis Parks Diagnostic Radiology · Waco, TX	31	123
Charles Shoultz Internal Medicine · Waco, TX	26	240
MICHAELS, DOUGLAS	25	125
EAST TEXAS MEDICAL CENTER	25	131
LUNDEEN, THOMAS	25	128
Christopher Thompson Pathology · Waco, TX	22	102
SCOTT & WHITE MEMORIAL HOSPITAL	22	208

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
CLEARPOINT DIAGNOSTIC LABORATORIES, LLC	177	1,186
ASCENSION PROVIDENCE	132	987
HILLCREST BAPTIST MEDICAL CENTER	70	421
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	46	208
Nathan Forrest Diagnostic Radiology · Waco, TX	41	214
Kathleen Patton Diagnostic Radiology · Waco, TX	40	239
SCOTT & WHITE MEMORIAL HOSPITAL	33	177
Amy Mccourt Diagnostic Radiology · Waco, TX	32	93
Adam Borowski Diagnostic Radiology · Longview, TX	29	154
Jeffery White Diagnostic Radiology · Waco, TX	29	172
EAST TEXAS MEDICAL CENTER	28	191
Gustavo Villarreal Jr Diagnostic Radiology · Waco, TX	28	129

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events