DR. CARLOS MARIO ROLDAN (M.D.) – Family Medicine Physician, NPI 1356348635
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,297 INTERNAL MEDICINE in TX
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Provider Addresses for DR. CARLOS MARIO ROLDAN (M.D.)
Glory Days Grill, 9969, Jefferson Davis Highway, Fredericksburg, Spotsylvania County, Virginia, 22408, United States
SAN ANTONIO, TX 782404106
Phone: (210) 690-2273
Fax: (210) 581-8209
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 148 Open Payments records for all available years, with a total value of $3,583.
Total Amount is formed as General ($3,583) + Research ($0) + Ownership ($0) = $3,583.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($818).
Total Amount
$3,583
General + Research + Ownership
Payments
148
Total payment records
General Amount
$3,583
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $818 |
| Amgen Inc. | $727 |
| AstraZeneca Pharmaceuticals LP | $377 |
| Bayer Healthcare Pharmaceuticals Inc. | $259 |
| GlaxoSmithKline, LLC. | $253 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-05-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100507000271 | I | Internal Medicine | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 521 | 287 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 311 | 185 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 170 | 170 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 160 | 160 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 128 | 128 | $0 |
Insurance plans in this area (ZIP 78240)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Internal Medicine | NC | |
| - | TX | |
| Internal Medicine | TX | |
| Geriatric Medicine, Family Practice | TX | |
| Family Practice | TX | |
| Internal Medicine | TX | |
| Internal Medicine | TX | |
| Internal Medicine | TX |
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