DR. JOHN TIMOTHY CARMACK MD, MPH
NPI 1023034972
Family Medicine in Tappahannock, VA

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
618 HOSPITAL RD, TAPPAHANNOCK, VA 22560(804) 443-6297 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2023, Sep 27, 2016 (2 updates tracked since 2016).

About Dr. John Timothy Carmack Md, Mph NPPES

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

DR. JOHN TIMOTHY CARMACK MD, MPH (NPI 1023034972) is an individual family medicine provider in Tappahannock, Virginia, licensed in West Virginia (30744) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2011).

NPPES Registry Identity

NPI1023034972
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN TIMOTHY CARMACKCredential: MD, MPH
Location Address618 HOSPITAL RDTappahannock, VA 22560-5000
Mailing Address3450 Maidens RdPowhatan, VA 23139-4015 · (804) 928-8167
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2011
Enumeration DateJuly 14, 2006
Last NPPES UpdateMay 15, 20232 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1023034972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WV · 30744✔ Licensed in VA · 0101045525
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 0101045525 (VA), MD.09541R (LA)
618 HOSPITAL RD, Tappahannock, VA 22560

Other Identifiers 3

Medicaid005639301VA
Medicaid005829623VA
Medicaid1023034972VA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Timothy Carmack Md, Mph 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 ID4789663964
PECOS Enrollment IDI20040720000703, I20250311002664
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.

Medicare Billing Reassignments

13

Medicare enrollment records show John Carmack reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
14087 RICHMOND HIGHWAY
Woodbridge, VA 22191
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 25 clinicians in this Medicare group
Emergency Medicine
8700 SUDLEY RD
Manassas, VA 20110
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Emergency Medicine Associates P.A., P.C.
  • 1,294 clinicians in this Medicare group
Critical Access
106 PARK DRIVE
Hot Springs, VA 24445
  • Reassigned Medicare billing, Virginia enrollment
  • 129 clinicians in this Medicare group
Emergency Medicine
1 ARH LN
Low Moor, VA 24457
  • Reassigned Medicare billing, Virginia enrollment
  • 92 clinicians in this Medicare group
Multi-Specialty
602 BRANDON AVE SW, SUITE 222
Roanoke, VA 24015
  • Reassigned Medicare billing, Virginia enrollment
  • 101 clinicians in this Medicare group
Urgent Care
1298 N MAIN ST
Fuquay Varina, NC 27526
  • Reassigned Medicare billing, North Carolina enrollment
  • 24 clinicians in this Medicare group
Multi-Specialty
2305 N MAIN ST
High Point, NC 27262
  • Reassigned Medicare billing, North Carolina enrollment
  • 60 clinicians in this Medicare group
Emergency Medicine
2400 LEE HWY N
Pulaski, VA 24301
  • Reassigned Medicare billing, Virginia enrollment
  • 66 clinicians in this Medicare group
Professional
616 HARRISON ST
Princeton, WV 24740
  • Reassigned Medicare billing, West Virginia enrollment
  • 13 clinicians in this Medicare group
Emergency Medicine
200 HOSPITAL DR
Galax, VA 24333
  • Reassigned Medicare billing, Virginia enrollment
  • 68 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22560 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$30.70 avg. paid by Medicare
Insertion tray with drainage bag but without catheter A4354
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims11 services$9.70 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$8.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Hospitalist
618 HOSPITAL RD
TAPPAHANNOCK, VA 22560
Hospitalist
618 HOSPITAL RD
TAPPAHANNOCK, VA 22560
Anesthesiology
618 HOSPITAL RD, RIVERSIDE TAPPAHANNOCK HOSPITAL
TAPPAHANNOCK, VA 22560
Anesthesiology
618 HOSPITAL RD
TAPPAHANNOCK, VA 22560
Medicare Defined Swing Bed Unit
618 HOSPITAL RD
TAPPAHANNOCK, VA 22560
Anesthesiology
618 HOSPITAL RD
TAPPAHANNOCK, VA 22560
Emergency Medicine
618 HOSPITAL RD
TAPPAHANNOCK, VA 22560
Internal Medicine
618 HOSPITAL RD
TAPPAHANNOCK, VA 22560

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 John Carmack's NPI number?

The NPI number for John Carmack is 1023034972. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is John Carmack located?

John Carmack practices at 618 Hospital Rd, Tappahannock, VA 22560. The listed phone number is (804) 443-6297.

What is John Carmack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Carmack enrolled in Medicare?

Yes. John Carmack 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.

Which organizations bill Medicare for John Carmack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Carmack reassigns Medicare benefits to 13 organizations: American Greatest Care LLC (Woodbridge, VA), Emergency Medicine Associates PA PC (Manassas, VA), Bath County Community Hospital (Hot Springs, VA), Ingleside Emergency Group, LLC (Low Moor, VA), Roanoke Valley Healthcare Partners, LLC (Roanoke, VA) and 8 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Carmack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Carmack accept?

Health plans from UnitedHealthcare list John Carmack 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.

When was this NPI record last updated?

The NPPES record for John Carmack was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.