CRAIG T CARTER
NPI 1275573818
Emergency Medicine in Lexington, KY

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 ROSE STREET, LEXINGTON, KY 40536(859) 323-5901 Get Directions Write a Review

NPPES record last updated: February 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Craig T Carter NPPES

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

CRAIG T CARTER (NPI 1275573818) is an individual emergency medicine provider in Lexington, Kentucky, licensed in Kentucky (02775) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1998).

NPPES Registry Identity

NPI1275573818
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCRAIG T CARTER
Location Address800 ROSE STREETLexington, KY 40536-0001
Mailing Address138 Leader AveLexington, KY 40508-3215 · (859) 257-7910 · Fax (859) 257-7899
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1998
Enumeration DateJune 8, 2006
Last NPPES UpdateFebruary 4, 2015
NPI 1275573818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in KY · 02775
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 02775 (KY)
800 ROSE STREET, Lexington, KY 40536

Other Identifiers 1

Medicare UPINH30371

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

Craig T Carter 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 ID3173595816
PECOS Enrollment IDI20040812000024
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.

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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.

Nurse Anesthetist, Certified Registered
800 ROSE STREET
LEXINGTON, KY 40536
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE STREET
LEXINGTON, KY 40536
Nurse Anesthetist, Certified Registered
800 ROSE STREET
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
800 ROSE STREET, ANESTHESIOLOGY N202
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
800 ROSE STREET, MN 275
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
800 ROSE STREET, ANESTHESIOLOGY N202
LEXINGTON, KY 40536
Radiology (Neuroradiology)
800 ROSE STREET, ROOM HX-319A
LEXINGTON, KY 40536
Hospitalist
800 ROSE STREET
LEXINGTON, KY 40536

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 Craig Carter's NPI number?

The NPI number for Craig Carter is 1275573818. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Craig Carter located?

Craig Carter practices at 800 Rose Street, Lexington, KY 40536. The listed phone number is (859) 323-5901.

What is Craig Carter's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Craig Carter enrolled in Medicare?

Yes. Craig 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.

Is Craig Carter affiliated with any hospitals?

According to CMS data, Craig Carter is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Craig Carter was last updated on February 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.