KATHY JO CARSTARPHEN MD
NPI 1235405044
Internal Medicine in New Orleans, LA

Active since March 26, 2012PECOS EnrolledAccepts Medicare Assignment
1401 JEFFERSON HWY, NEW ORLEANS, LA 70121(504) 842-4747(504) 842-1242 Get Directions Write a Review

NPPES record last updated: December 20, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 20, 2016, Oct 12, 2016 (2 updates tracked since 2016).

About Kathy Jo Carstarphen Md NPPES

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

KATHY JO CARSTARPHEN MD (NPI 1235405044) is an individual internal medicine provider in New Orleans, Louisiana, licensed in Louisiana (MD.207284) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of University Of Alabama School Of Dentistry (2012).

NPPES Registry Identity

NPI1235405044
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKATHY JO CARSTARPHENCredential: MD
Location Address1401 JEFFERSON HWYNew Orleans, LA 70121-2426
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000
Fax(504) 842-1242
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of DentistryGraduated 2012
Enumeration DateMarch 26, 2012
Last NPPES UpdateDecember 20, 20162 updates tracked since enumeration
NPI 1235405044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in LA · MD.207284
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1401 JEFFERSON HWY, New Orleans, LA 70121

Other Identifiers 3

Medicaid00435346MS
Medicaid2191951LA
Medicare PIN457003YH3ULA

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

Kathy Jo Carstarphen Md 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 ID6305146911
PECOS Enrollment IDI20151204000297
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 6

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 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.
25 services23 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
23 services16 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
22 services11 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
18 services13 patients
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.
17 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70121 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$14.84 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers19 claims19 services$2.22 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers17 claims17 services$38.69 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$54.80 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.

Student in an Organized Health Care Education/Training Program
1401 JEFFERSON HWY, ACADEMIC CENTER, FIRST FLOOR
NEW ORLEANS, LA 70121
Internal Medicine
1401 JEFFERSON HWY
NEW ORLEANS, LA 70121
Internal Medicine
1401 JEFFERSON HWY
NEW ORLEANS, LA 70121
Internal Medicine
1401 JEFFERSON HWY
NEW ORLEANS, LA 70121
Family Medicine (Sports Medicine)
1401 JEFFERSON HWY
NEW ORLEANS, LA 70121
Nurse Practitioner (Adult Health)
1401 JEFFERSON HWY
NEW ORLEANS, LA 70121
Nurse Practitioner (Family)
1401 JEFFERSON HWY
NEW ORLEANS, LA 70121
Student in an Organized Health Care Education/Training Program
1401 JEFFERSON HWY, ACADEMICS CENTER, 1ST FLOOR GRADUATE MEDICAL EDUCATION
NEW ORLEANS, LA 70121

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 Kathy Carstarphen's NPI number?

The NPI number for Kathy Carstarphen is 1235405044. It was assigned to this individual provider in the NPPES registry on March 26, 2012.

Where is Kathy Carstarphen located?

Kathy Carstarphen practices at 1401 Jefferson Hwy, New Orleans, LA 70121. The listed phone number is (504) 842-4747.

What is Kathy Carstarphen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kathy Carstarphen enrolled in Medicare?

Yes. Kathy Carstarphen 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 Kathy Carstarphen accept?

Health plans from CHRISTUS Health Plan and HMO Louisiana list Kathy Carstarphen 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 Kathy Carstarphen affiliated with any hospitals?

According to CMS data, Kathy Carstarphen is affiliated with Ochsner Medical Center Acute.

When was this NPI record last updated?

The NPPES record for Kathy Carstarphen was last updated on December 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.