DR. CARL M PAFFORD MD
NPI 1457340622
Family Medicine in Fishers, IN

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment
8890 E 116TH ST, SUITE 300, FISHERS, IN 46038(317) 621-1500(317) 621-1509 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2016, Feb 26, 2016 (2 updates tracked since 2016).

About Dr. Carl M Pafford Md NPPES

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

DR. CARL M PAFFORD MD (NPI 1457340622) is an individual family medicine provider in Fishers, Indiana, licensed in Indiana (01052893A) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and is a graduate of Indiana University School Of Medicine (1999).

NPPES Registry Identity

NPI1457340622
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARL M PAFFORDCredential: MD
Location Address8890 E 116TH ST, SUITE 300Fishers, IN 46038-2820
Mailing Address6626 E 75th St, Suite 500Indianapolis, IN 46250-2805
Fax(317) 621-1509
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1999
Enumeration DateOctober 19, 2005
Last NPPES UpdateOctober 12, 20162 updates tracked since enumeration
NPI 1457340622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01052893A
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 01052893A (IN)
8890 E 116TH ST, Fishers, IN 46038

Other Identifiers 9

OtherP01679333IN · Rr Medicare
Medicaid200297780IN
Medicare PIN264430169IN
Other000000603506IN · Anthem - Tipton Hospital
Medicare UPINH25260
Other000000850979IN · Anthem Pin
Medicare PIN256870DIN
Other000000572613IN · Anthem
Medicare PIN266180060IN

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

Dr. Carl M Pafford 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 ID9436107810
PECOS Enrollment IDI20050112000559
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
60 services58 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
28 services28 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46038 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner
8890 E 116TH ST, SUITE 300
FISHERS, IN 46038
Family Medicine
8890 E 116TH ST, SUITE 300
FISHERS, IN 46038
Family Medicine
8890 E 116TH ST, SUITE 300
FISHERS, IN 46038
Nurse Practitioner (Family)
8890 E 116TH ST
FISHERS, IN 46038
Nurse Practitioner
8890 E 116TH ST, SUITE 300
FISHERS, IN 46038
Pediatrics
8890 E 116TH ST, SUITE 260
FISHERS, IN 46038
Family Medicine
8890 E 116TH ST
FISHERS, IN 46038
Pediatrics
8890 E 116TH ST, SUITE 260
FISHERS, IN 46038

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 Carl Pafford's NPI number?

The NPI number for Carl Pafford is 1457340622. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Carl Pafford located?

Carl Pafford practices at 8890 E 116th St Suite 300, Fishers, IN 46038. The listed phone number is (317) 621-1500.

What is Carl Pafford's specialty?

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

Is Carl Pafford enrolled in Medicare?

Yes. Carl Pafford 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 Carl Pafford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Carl Pafford 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 Carl Pafford affiliated with any hospitals?

According to CMS data, Carl Pafford is affiliated with Indiana University Health Ball Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carl Pafford was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.