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DR. JAMES ROBERT CARPENTER M.D.
NPI 1114968468
Family Medicine in Prattville, AL

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
645 MCQUEEN SMITH RD N, SUITE 101, PRATTVILLE, AL 36066(334) 365-5987(334) 365-5315 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Robert Carpenter M.d. NPPES

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

DR. JAMES ROBERT CARPENTER M.D. (NPI 1114968468) is an individual family medicine provider in Prattville, Alabama, licensed in Alabama (14134) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1987).

NPPES Registry Identity

NPI1114968468
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES ROBERT CARPENTERCredential: M.D.
Location Address645 MCQUEEN SMITH RD N, SUITE 101Prattville, AL 36066-7268
Mailing Address645 Mcqueen Smith Rd N, Suite 101Prattville, AL 36066-7268 · (334) 365-5987 · Fax (334) 365-5315
Phone(334) 365-5987
Fax(334) 365-5315
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1987
Enumeration DateJune 9, 2006
Last NPPES UpdateJanuary 13, 2020
✔ NPI 1114968468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 14134
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.
645 MCQUEEN SMITH RD N, Prattville, AL 36066
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Other Identifiers 1

Medicaid000082242AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Dr. James Robert Carpenter M.d. 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 ID1355523713
PECOS Enrollment IDI20110308000092
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.
343 services112 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
121 services121 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
116 services116 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.
114 services63 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
113 services113 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.
57 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36066 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 28 patients
100%31 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. LUCIUS BEDFORD FREEMAN MD
Family Medicine
645 MCQUEEN SMITH RD N, SUITE 105
PRATTVILLE, AL 36066
Autauga County (334) 361-7656
HEALING TOUCH FAMILY CARE, LLC
Family Medicine
645 MCQUEEN SMITH RD N, SUITE 300
PRATTVILLE, AL 36066
Autauga County (334) 361-2121
MEDICAL CARE ASSOCIATES
Specialist
645 MCQUEEN SMITH RD N, SUITE302
PRATTVILLE, AL 36066
Autauga County (334) 361-7404
MONTGOMERY CANCER CENTER LLC
Durable Medical Equipment & Medical Supplies
645 MCQUEEN SMITH RD N, SUITE 109
PRATTVILLE, AL 36066
Autauga County (334) 351-1000
DR. MARILYN JOY HEPPERLE M.D, FRCP
Specialist
645 MCQUEEN SMITH RD N, SUIT 302
PRATTVILLE, AL 36066
Autauga County (334) 361-7404
TIMOTHY M MEADOWS OD
Optometrist
645 MCQUEEN SMITH RD N
PRATTVILLE, AL 36066
Autauga County (334) 481-2800
PRESCRIPTION EYEWEAR, INC.
Eyewear Supplier
645 MCQUEEN SMITH RD N, SUITE 109
PRATTVILLE, AL 36066
Autauga County (334) 365-9911
MR. PARHAM MORA M.D.
Surgery
645 MCQUEEN SMITH RD N, SUITE 205
PRATTVILLE, AL 36066
Autauga County (334) 361-6126

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 James Carpenter's NPI number?

The NPI number for James Carpenter is 1114968468. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is James Carpenter located?

James Carpenter practices at 645 Mcqueen Smith Rd N Suite 101, Prattville, AL 36066. The listed phone number is (334) 365-5987.

What is James Carpenter's specialty?

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

Is James Carpenter enrolled in Medicare?

Yes. James Carpenter 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 James Carpenter accept?

Health plans from Blue Cross and Blue Shield of Alabama list James Carpenter 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 James Carpenter was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.