TYLER CARTER DO
NPI 1376167049
Family Medicine in Barbourville, KY

Active since May 29, 2020PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
215 N ALLISON AVE, BARBOURVILLE, KY 40906(606) 546-9287(864) 725-4883 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2023, Jan 6, 2022, Dec 28, 2021 and 1 more (4 updates tracked since 2020).

About Tyler Carter Do NPPES

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

TYLER CARTER DO (NPI 1376167049) is an individual family medicine provider in Barbourville, Kentucky, licensed in Kentucky (05570) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Lincoln Memorial University Medical Department (2020).

NPPES Registry Identity

NPI1376167049
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTYLER CARTERCredential: DO
Location Address215 N ALLISON AVEBarbourville, KY 40906-1336
Mailing AddressPo Box 1150Barbourville, KY 40906-5150 · (606) 546-9287 · Fax (606) 546-0009
Fax(864) 725-4883
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2020
Enumeration DateMay 29, 2020
Last NPPES UpdateJuly 3, 20234 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
NPI 1376167049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 05570
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.
215 N ALLISON AVE, Barbourville, KY 40906

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

Tyler Carter Do 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 ID7113327750
PECOS Enrollment IDI20230823004602
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40906 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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
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.

Physician Assistant
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Physician Assistant
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Pediatrics
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Nurse Practitioner
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Nurse Practitioner
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Family Medicine
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Optometrist
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Counselor (Professional)
215 N ALLISON AVE
BARBOURVILLE, KY 40906

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 Tyler Carter's NPI number?

The NPI number for Tyler Carter is 1376167049. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Where is Tyler Carter located?

Tyler Carter practices at 215 N Allison Ave, Barbourville, KY 40906. The listed phone number is (606) 546-9287.

What is Tyler Carter's specialty?

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

Is Tyler Carter enrolled in Medicare?

Yes. Tyler 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.

What insurance does Tyler Carter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and First Choice Next list Tyler Carter 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 Tyler Carter was last updated on July 3, 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.