CARLOS XAVIER QUINONES CRUZ (PA-C) – Physician Assistant, NPI 1790674562

CARLOS XAVIER QUINONES CRUZ (PA-C) is a healthcare provider. based in Pecos, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA20211 (TX). The NPI Number for CARLOS XAVIER QUINONES CRUZ (PA-C) is 1790674562

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
CARLOS XAVIER QUINONES CRUZ (PA-C)
NPI
1790674562
Phone
(432) 447-3551
Address
2335 MEDICAL DR
Enumeration Date
28 June 2025
Last Update Date
29 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5802906424
Graduation Year
2025 (1 year ago)
PAC ID
2264911650
Group Practice PAC ID
2365408465
Professional Enrollment ID
I20260205003352
Address ID
OK738014661WO1021XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for CARLOS XAVIER QUINONES CRUZ (PA-C)

  • 2335 MEDICAL DR

    PECOS, TX 797722251

    Phone: (432) 447-3551

    Type: Mailing

  • 1021 OKLAHOMA AVE

    WOODWARD, OK 738014661

    Phone: (580) 290-6424

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-02-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260205003352IPhysician AssistantOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79772)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365408465View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
-OK
Physician AssistantOK
Orthopedic SurgeryOK
-OK
Family Practice, General Surgery, Osteopathic Manipulative MedicineOK
-OK
H O S P I T A L I S TOK
H E M A T O L O G Y/ O N C O L O G YOK
-OK

Reviews

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Frequently asked questions

What is the 10-digit NPI for CARLOS XAVIER QUINONES CRUZ (PA-C)?
CARLOS XAVIER QUINONES CRUZ (PA-C) — NPI 1790674562 — is the standard way to identify this listing.
Is CARLOS XAVIER QUINONES CRUZ (PA-C) still practicing?
CARLOS XAVIER QUINONES CRUZ (PA-C) is currently listed as active in the public NPI registry.
What is CARLOS XAVIER QUINONES CRUZ (PA-C)'s primary classification?
Physician Assistant is the headline specialty for CARLOS XAVIER QUINONES CRUZ (PA-C) here. Clinical services aligned with this taxonomy classification.
Does CARLOS XAVIER QUINONES CRUZ (PA-C) list a practice location?
Patients near Pecos, Texas may find CARLOS XAVIER QUINONES CRUZ (PA-C) in results; validate coverage separately.
Is the information about CARLOS XAVIER QUINONES CRUZ (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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