Carlton J Rojas , NP
Nurse Practitioner โข Tyler, TX
800 E Dawson St
Tyler, TX 757012036
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 20, 2011; this date does not establish years in practice.
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Published CMS data list 39 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99291 โ Critical care: 39 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 97 Medicare Part D prescriptions, including refills, in 2018.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018. Published rows only; this is not a quality measure.
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Published Part D records, 2018:
- Cefdinir โ 42 prescription fills, including refills.
- Azithromycin โ 23 prescription fills, including refills.
- Prednisone โ 21 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Tyler, TX (2024, 89 clinicians with data). Median for this group: 377. Middle half: 87 to 662.
Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 141 in 2020 to 39 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
800 E Dawson St
Tyler, TX 757012036
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 4 distinct additional practice-address records in Canton, TX; Jacksonville, TX; Sulphur Springs, TX and 1 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Northeast Texas Emergency Physicians Pllc; Northeast Texas Intensivists, Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2011
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
46 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $6,940 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $5,573 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
97 standardized 30-day fills in 2018
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,084 in 2018
The total cost of these prescriptions in 2018, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
15 years (graduated 2011)
CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2011
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Carlton Rojas has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Carlton Rojas as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Tyler and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Tyler, TX (2024, 89 clinicians with data). Median for this group: 377. Middle half: 87 to 662.
Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Tyler, TX (2024, 89 clinicians with data). Median for this group: $22,550. Middle half: $5,744 to $47,311.
A lower Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $17,068. Middle half: $6,758 to $39,305.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in Tyler, TX (2024, 89 clinicians with data). Median for this group: $16,503. Middle half: $4,479 to $34,335.
A lower Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $12,638. Middle half: $4,849 to $28,908.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Carlton Rojas are from 2018.
147 active clinicians are listed under Nurse Practitioner with a practice address in Tyler, TX (4,835 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Tyler
11.6% of these 147 clinicians have the CMS telehealth indicator.
77.6% of these 147 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 72% from 141 in 2020 to 39 in 2024.
- 2020: 141
- 2021: 91
- 2022: 119
- 2023: 88
- 2024: 39
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Medicare-allowed amount
Medicare-allowed amount decreased 69% from $22,465 in 2020 to $6,940 in 2024.
- 2020: $22,465
- 2021: $16,621
- 2022: $16,225
- 2023: $13,563
- 2024: $6,940
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Paid by Medicare
Paid by Medicare decreased 68% from $17,627 in 2020 to $5,573 in 2024.
- 2020: $17,627
- 2021: $12,348
- 2022: $12,500
- 2023: $10,618
- 2024: $5,573
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Medicare Part D prescriptions
CMS data for Part D prescriptions are available for 2018 only.
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30-day fills
CMS data for 30-day fills are available for 2018 only.
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Part D drug cost
CMS data for Part D drug cost are available for 2018 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2018), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99291
Critical care, first 30-74 minutes
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39 | 38 | $1361.54 | $177.96 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2018.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cefdinir | Cefdinir | 42 | 243 | $671.14 | 39 |
| Azithromycin | Azithromycin | 23 | 107 | $222.31 | 23 |
| Prednisone | Prednisone | 21 | 97 | $87.31 | 21 |
| Levofloxacin | Levofloxacin | 11 | 66 | $102.79 | 11 |
Source: CMS Part D by Provider and Drug, 2018; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-03-04NUCC Taxonomy Code: 363L00000X
(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
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20160712001430
LA
7315119377
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
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
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Critical Care Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner - Critical Care Medicine
Emergency Medicine
Doctor of Medicine (M.D.), Master of Public Health
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Nurse Practitioner (license number reported to NPPES: TX AP120648)
NPI status registered as active in NPPES database
Registered at 800 E DAWSON ST, TYLER, TX 757012036 (Tel: 9035251914)
Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246400)
Recorded as CARLTON ROJAS, NP
Nurse Practitioner (license number reported to NPPES: TX 710892)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Tyler
- Matthew Greene, ACNP
- Kelley Smith, APN
- Jasmine Azghani Vardeman, NP-C
- Francisco Rivera, FNP, ACNP
- Leslie Partlow, FNP-C
- Melissa Neal, FNP
Mailing Address
Po Box 846098
Dallas, TX 752846098
Phone: 9033246400