Dr. Paul A. Carothers
- Gender: Male
- Experience: 8 years
- Graduation year: 2013
- Sole propriator: No
- NPI: 1205103132
Dr. Paul A. Carothers MD
Family Physician
He is located at 2400 Cedar Bend Drive in Austin, TX 78758. Can help patients with the following: Anxiety, General Care, Hyperlipidemia, Pregnancy, Prenatal Care, Thyroid Disease. His National Provider Identifier (NPI) number is 1205103132. Appointment can be made via the phone number (512) 901-4026. He is affiliated with 2 practices and 1 hospitals.
Conditions treated
Dr. Paul Carothers, being an family physician, 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. Paul A. Carothers.
- Abdominal Pain
- Aging In Place
- Anxiety
- Arthritis
- Asthma
- Autism
- Birth Control Counseling
- Breastfeeding and Lactation
- Chronic Obstructive Pulmonary Disease (COPD)
- Common Cold
- Diabetes
- Fever
- General Care
- Headache
- Heart Disease
- High Blood Pressure
- Hyperlipidemia
- Hypothyroidism
- Infant Care
- Influenza
- Migraine
- Mold Exposure
- Nausea and Vomiting
- Obesity
- Osteoarthritis (OA)
- Osteoporosis
- Pregnancy
- Prenatal Care
- Prescription Refill
- Thyroid Disease
- Women's Health
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Paul A. Carothers as in-network for the following 2026 plans.
Health plans
Ambetter from Superior HealthPlan
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 6 plans from Ambetter from Superior HealthPlan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Complete VALUE Gold (3 plan variants) | HMO · Gold | Preferred | Not accepting new patients |
| Focused VALUE Silver (3 plan variants) | HMO · Silver | Preferred | Not accepting new patients |
| Focused VALUE Silver + Vision + Adult Dental (3 plan variants) | HMO · Silver | Preferred | Not accepting new patients |
| Standard Gold VALUE (3 plan variants) | HMO · Gold | Preferred | Not accepting new patients |
| Standard Silver VALUE (3 plan variants) | HMO · Silver | Preferred | Not accepting new patients |
| Standard Silver VALUE + Vision + Adult Dental (3 plan variants) | HMO · Silver | Preferred | Not accepting new patients |
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 |
Moda Health Plan, Inc.
Network data as of Sep 12, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Moda Select Texas Bronze HDHP 7500 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Moda Select Texas Standard Bronze | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Moda Select Texas Standard Gold | EPO · Gold | Preferred | Accepting new patients |
| Moda Select Texas Standard Silver | EPO · 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 |
Sendero Health Plans, Local Nonprofit
Network data as of Sep 14, 2026, as reported by the insurer.
Show all 14 plans from Sendero Health Plans, Local Nonprofit
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible | HMO · Silver | Non Preferred | Accepting new patients |
| Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible | HMO · Silver | Preferred | Accepting new patients |
| Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs | HMO · Silver | Non Preferred | Accepting new patients |
| Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs | HMO · Silver | Preferred | Accepting new patients |
| Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs | HMO · Gold | Non Preferred | Accepting new patients |
| Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs | HMO · Gold | Preferred | Accepting new patients |
| Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs | HMO · Silver | Non Preferred | Accepting new patients |
| Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs | HMO · Silver | Preferred | Accepting new patients |
| Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Sendero Health Real Gold / $350 Deductible | HMO · Gold | Non Preferred | Accepting new patients |
| Sendero Health Real Gold / $350 Deductible | HMO · Gold | Preferred | Accepting new patients |
UnitedHealthcare
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 14 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 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 |
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. Paul A. Carothers 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. Paul A. Carothers is enrolled to bill Medicare as a Practitioner - Family Practice .
Bills through: The Austin Diagnostic Clinic 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.
Studies
Graduated in 2013
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Questions & Answers
Where can you meet with Dr. Paul Carothers?
Dr. Paul Carothers's office is located at 2400 Cedar Bend Drive in Austin, TX 78758.
Has Dr. Paul Carothers affiliation with hospitals?
Dr. Paul Carothers is affiliated with NORTH AUSTIN MEDICAL CENTER.
Does Dr. Paul Carothers have affiliation with practices?
Dr. Paul Carothers is affiliated with Mesilla Valley Healthcare Associates PA. For the full list of practices see this list.
Does Dr. Paul Carothers accept insurance?
Dr. Paul Carothers is listed in-network for 75 ACA Marketplace (Obamacare/HealthCare.gov) plans from Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company, Sendero Health Plans, Local Nonprofit, UnitedHealthcare. See the Marketplace plans section for details.
What conditions does Dr. Paul Carothers treat?
Dr. Paul Carothers provides treatment for Anxiety, General Care, Hyperlipidemia, Pregnancy, Prenatal Care, Thyroid Disease. For the full list see this list.