Dr. Carlos O. Encarnacion M.D.
Cardiothoracic Surgeon
He is located at 1313 Hermann Drive in Houston, TX 77004. Can help patients with the following: Anal Fissure, Aortic Dissection, Aortic Stenosis, Hemorrhoids, Lymphedema, Peptic Ulcer. His National Provider Identifier (NPI) number is 1508132812. Appointment can be made via the phone number (713) 527-5000. He is affiliated with 1 practices.
Conditions treated
Dr. Carlos Omar Encarnacion, being an cardiothoracic surgeon, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Carlos O. Encarnacion.
- Achalasia
- Anal Fissure
- Aortic Dissection
- Aortic Stenosis
- Appendicitis
- Boils
- Cancer
- Collapsed Lung
- Colon Cancer
- Crohn's Disease
- Cyst
- Diverticulosis
- Enlarged Spleen
- Esophageal Cancer
- Gallstones
- Gangrene
- Heart Disease
- Hemorrhoids
- Hernia
- Inflammatory Bowel Disease (IBD)
- Lymphedema
- Pancreatitis
- Peptic Ulcer
- Pilonidal Cyst
- Sebaceous Cyst
- Thoracic Outlet Syndrome (TOS)
- Ulcerative Colitis
- Ventricular Septal Defect (VSD)
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Carlos O. Encarnacion as in-network for the following 2026 plans.
Health plans
Blue Cross and Blue Shield of Texas
Network data as of Jun 7, 2026, as reported by the insurer.
Show all 25 plans from Blue Cross and Blue Shield of Texas
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Blue Advantage Bronze HMO℠ 204 (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ 301 (14 plan variants) | HMO · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ Standard (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 206 (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 603 (14 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ Standard (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 303 (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 305 (27 plan variants) | POS · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ Standard (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 203 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 803 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ Standard (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 202 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 605 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ Standard (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Security HMO℠ 200 (27 plan variants) | HMO · Catastrophic | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 205 (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 801 (14 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ Standard (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| MyBlue Health Bronze℠ 402 (13 plan variants) | HMO · Expanded Bronze | Myblue Health | Accepting new patients |
| MyBlue Health Bronze℠ Standard (11 plan variants) | HMO · Expanded Bronze | Myblue Health | Accepting new patients |
| MyBlue Health Gold℠ 403 (13 plan variants) | HMO · Gold | Myblue Health | Accepting new patients |
| MyBlue Health Gold℠ Standard (11 plan variants) | HMO · Gold | Myblue Health | Accepting new patients |
| MyBlue Health Silver℠ 405 (13 plan variants) | HMO · Silver | Myblue Health | Accepting new patients |
| MyBlue Health Silver℠ Standard (11 plan variants) | HMO · Silver | Myblue Health | Accepting new patients |
Community Health Choice
Network data as of Jan 28, 2026, as reported by the insurer.
Show all 12 plans from Community Health Choice
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Community Ultra Select Bronze 016 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Community Ultra Select Bronze 016 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Community Ultra Select Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Community Ultra Select Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Community Ultra Select Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Non Preferred | Accepting new patients |
| Community Ultra Select Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Preferred | Accepting new patients |
| Community Ultra Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Non Preferred | Accepting new patients |
| Community Ultra Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Preferred | Accepting new patients |
| Community Ultra Select Silver 019 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Non Preferred | Accepting new patients |
| Community Ultra Select Silver 019 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Preferred | Accepting new patients |
| Community Ultra Select Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Non Preferred | Accepting new patients |
| Community Ultra Select Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Preferred | Accepting new patients |
Community Health Choice
Network data as of Jan 28, 2026, as reported by the insurer.
Show all 18 plans from Community Health Choice
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Community Premier Bronze 003 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Community Premier Bronze 003 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Community Premier Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Community Premier Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Non Preferred | Accepting new patients |
| Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Preferred | Accepting new patients |
| Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Non Preferred | Accepting new patients |
| Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Preferred | Accepting new patients |
| Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Non Preferred | Accepting new patients |
| Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Preferred | Accepting new patients |
| Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Non Preferred | Accepting new patients |
| Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Preferred | Accepting new patients |
| Community Select Bronze 016 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Community Select Bronze 016 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Community Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) | HMO · Gold | Non Preferred | Accepting new patients |
| Community Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Community Select Silver 019 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) | HMO · Silver | Non Preferred | Accepting new patients |
| Community Select Silver 019 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) | HMO · Silver | Preferred | Accepting new patients |
Oscar Insurance Company
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 11 plans from Oscar Insurance Company
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Gold Classic Guided Care (8 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Gold Classic Standard Guided Care (8 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Gold Simple Diabetes Guided Care (8 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Gold Simple Guided Care (8 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Silver Classic Standard Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Breathe Easy with Enhanced COPD Benefits Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Chronic Care CKM Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Diabetes Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple PCP Saver Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Women's Health with Menopause Benefits Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
UnitedHealthcare
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 20 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential ($0 Virtual Urgent Care) | HMO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard+ (Dental + Vision) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Kelsey-Seybold Bronze Copay Focus $0 Indiv Med Ded | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Kelsey-Seybold Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Kelsey-Seybold Gold Copay Focus+ $0 Indiv Med Ded ($8 Tier 2 Rx, Dental + Vision) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Kelsey-Seybold Silver Copay Focus $0 Indiv Med Ded | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Kelsey-Seybold Silver Copay Focus+ $0 Indiv Med Ded (Dental + Vision) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value ($0 Virtual Urgent Care) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision) | HMO · Silver | Non Preferred | Accepting new patients |
UnitedHealthcare
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 11 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Sanitas Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Sanitas Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Sanitas Bronze Standard | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Sanitas Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Sanitas Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Sanitas Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Sanitas Gold Standard | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Sanitas Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Sanitas Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Sanitas Silver Standard | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Sanitas Silver Value ($0 Virtual Urgent Care) | HMO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Carlos O. Encarnacion is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Carlos O. Encarnacion is enrolled to bill Medicare as a Practitioner - Thoracic Surgery .
Bills through: Specialty Associates Of West Houston Pllc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Edwards Lifesciences | $1466 |
| Medtronic | $823 |
| Abbott Laboratories | $158 |
Other
| Travel and Lodging | $1877 |
| Food and Beverage | $863 |
Additional Specialities
- Surgeon
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Questions & Answers
What conditions does Dr. Carlos Omar Encarnacion treat?
Dr. Carlos Omar Encarnacion provides treatment for Anal Fissure, Aortic Dissection, Aortic Stenosis, Hemorrhoids, Lymphedema, Peptic Ulcer. For the full list see this list.
Does Dr. Carlos Omar Encarnacion have affiliation with practices?
Dr. Carlos Omar Encarnacion is affiliated with KPS Cardiovascular Surgery PA.
Does Dr. Carlos Omar Encarnacion accept insurance?
Dr. Carlos Omar Encarnacion is listed in-network for 97 ACA Marketplace (Obamacare/HealthCare.gov) plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company, UnitedHealthcare. See the Marketplace plans section for details.
Where can you meet with Dr. Carlos Omar Encarnacion?
Dr. Carlos Omar Encarnacion's office is located at 1313 Hermann Drive in Houston, TX 77004.