EMILY MEGAN CARTER PA-C
NPI 1003162652
Physician Assistant in Lexington, KY

Active since August 01, 2012PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1720 NICHOLASVILLE RD, STE 601, LEXINGTON, KY 40503(859) 277-5887(859) 276-7659 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Emily Megan Carter Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY MEGAN CARTER PA-C (NPI 1003162652) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA1746) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of University Of Kentucky College Of Medicine (2012).

NPPES Registry Identity

NPI1003162652
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMILY MEGAN CARTERCredential: PA-C
Location Address1720 NICHOLASVILLE RD, STE 601Lexington, KY 40503-1404
Mailing Address4071 Tates Creek Centre Dr, Suite 202Lexington, KY 40517-3062 · (859) 277-5887 · Fax (859) 276-7659
Fax(859) 276-7659
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2012
Enumeration DateAugust 1, 2012
Last NPPES UpdateDecember 7, 2020
NPPES CertifiedDecember 7, 2020
NPI 1003162652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KY · PA1746
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1720 NICHOLASVILLE RD, Lexington, KY 40503

Other Names 1

Former Name (1)Emily Megan Arnold Pa-c

Other Identifiers 1

Medicaid7100215290KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Emily Megan Carter Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628225844
PECOS Enrollment IDI20120823000258
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
200 services194 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
160 services157 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services51 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
34 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services33 patients
Programming of multiple lead implantable defibrillator system 93284
Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1720 NICHOLASVILLE RD, STE 702
LEXINGTON, KY 40503
Nurse Practitioner (Acute Care)
1720 NICHOLASVILLE RD, SUITE 506
LEXINGTON, KY 40503
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Internal Medicine (Hospice and Palliative Medicine)
1720 NICHOLASVILLE RD, SUITE 703
LEXINGTON, KY 40503
Physician Assistant
1720 NICHOLASVILLE RD, SUTIE 601
LEXINGTON, KY 40503
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, STE 602
LEXINGTON, KY 40503
Audiologist
1720 NICHOLASVILLE RD, SUITE 500
LEXINGTON, KY 40503
Internal Medicine (Hematology & Oncology)
1720 NICHOLASVILLE RD, SUITE 701
LEXINGTON, KY 40503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Carter's NPI number?

The NPI number for Emily Carter is 1003162652. It was assigned to this individual provider in the NPPES registry on August 1, 2012. The provider is also known as Emily Megan Arnold Pa-C.

Where is Emily Carter located?

Emily Carter practices at 1720 Nicholasville Rd Ste 601, Lexington, KY 40503. The listed phone number is (859) 277-5887.

What is Emily Carter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emily Carter enrolled in Medicare?

Yes. Emily Carter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Emily Carter accept?

Health plans from CareSource list Emily Carter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Emily Carter affiliated with any hospitals?

According to CMS data, Emily Carter is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Emily Carter was last updated on December 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.