CARLTON ANDREW CRAIN PA
NPI 1083714711
Physician Assistant in Kinston, NC

Active since September 23, 2006PECOS EnrolledAccepts Medicare Assignment
107 AIRPORT RD, KINSTON, NC 28501(252) 527-4148(252) 527-5697 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carlton Andrew Crain Pa NPPES

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

CARLTON ANDREW CRAIN PA (NPI 1083714711) is an individual physician assistant in Kinston, North Carolina, licensed in North Carolina (102093) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Unc Lenoir Health Care, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1083714711
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCARLTON ANDREW CRAINCredential: PA
Location Address107 AIRPORT RDKinston, NC 28501-1603
Mailing Address2000 Perimeter Park Dr Ste 200Morrisville, NC 27560-8442
Fax(252) 527-5697
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 23, 2006
Last NPPES UpdateMay 6, 2021
NPPES CertifiedMay 6, 2021
NPI 1083714711 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 NC · 102093
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.
107 AIRPORT RD, Kinston, NC 28501

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

Carlton Andrew Crain Pa 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 ID4981929734
PECOS Enrollment IDI20150219000572
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 9

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.
225 services130 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.
174 services124 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
70 services61 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
70 services47 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services27 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
24 services20 patients

Hospital Affiliations CMS Care Compare

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

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340027
Location100 Airport RdKinston, NC 28501 · Lenoir County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28501 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers18 claims29 services$5.46 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 12

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

Family Medicine
107 AIRPORT RD
KINSTON, NC 28501
Clinical Medical Laboratory
107 AIRPORT RD
KINSTON, NC 28501
Family Medicine
107 AIRPORT RD
KINSTON, NC 28501
Nurse Practitioner (Family)
107 AIRPORT RD
KINSTON, NC 28501
Family Medicine
107 AIRPORT RD
KINSTON, NC 28501
Family Medicine
107 AIRPORT RD
KINSTON, NC 28501
Non-Pharmacy Dispensing Site
107 AIRPORT RD
KINSTON, NC 28501
Social Worker (Clinical)
107 AIRPORT RD
KINSTON, NC 28501

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 Carlton Crain's NPI number?

The NPI number for Carlton Crain is 1083714711. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is Carlton Crain located?

Carlton Crain practices at 107 Airport Rd, Kinston, NC 28501. The listed phone number is (252) 527-4148.

What is Carlton Crain's specialty?

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

Is Carlton Crain enrolled in Medicare?

Yes. Carlton Crain 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 Carlton Crain accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Carlton Crain 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 Carlton Crain affiliated with any hospitals?

According to CMS data, Carlton Crain is affiliated with Unc Lenoir Health Care.

When was this NPI record last updated?

The NPPES record for Carlton Crain was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.