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ABBY CARTER
NPI 1508425844
Nurse Practitioner - Family in Upton, KY

Active since June 11, 2019PECOS Enrolled
95.5/100
CMS Quality Rating
1140 WABASH RD, UPTON, KY 42784(270) 766-7676(270) 246-9774 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2026, Jun 11, 2019 (2 updates tracked since 2019).

About Abby Carter NPPES

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

ABBY CARTER (NPI 1508425844) is an individual family provider in Upton, Kentucky, licensed in Kentucky (3013429) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508425844
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameABBY CARTER
Location Address1140 WABASH RDUpton, KY 42784-9222
Mailing Address1140 Wabash RdUpton, KY 42784-9222 · (270) 766-7676 · Fax (270) 246-9774
Phone(270) 766-7676
Fax(270) 246-9774
Sole ProprietorNo
Enumeration DateJune 11, 2019
Last NPPES UpdateMay 15, 20262 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1508425844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3013429
1140 WABASH RD, Upton, KY 42784
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abby Carter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Abby Carter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Inc
7.7 mi
Rural Health
11969 S DIXIE HWY
Sonora, KY 42776
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1093338527 (Kentucky)
  • 1,441 clinicians in this Medicare group
NPI 1033714571 (270) 668-5439
Fast Pace Kentucky PLLC
64 mi
Family
1475 NASHVILLE RD
Franklin, KY 42134
  • Reassigned Medicare billing, Kentucky enrollment
  • 427 clinicians in this Medicare group
NPI 1457716706 (270) 813-1111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
338 services263 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.
24 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42784 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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

MODERN ROOTS HEALTHCARE,PLLC
Clinic/Center (Primary Care)
1140 WABASH RD
UPTON, KY 42784
Hardin County (270) 766-7676
MODERN ROOTS HEALTHCARE, PLLC
Clinic/Center (Primary Care)
1140 WABASH RD
UPTON, KY 42784
Hardin County (270) 766-7676

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 Abby Carter's NPI number?

The NPI number for Abby Carter is 1508425844. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Abby Carter located?

Abby Carter practices at 1140 Wabash Rd, Upton, KY 42784. The listed phone number is (270) 766-7676.

What is Abby Carter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Abby Carter enrolled in Medicare?

Yes. Abby Carter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Abby Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abby Carter reassigns Medicare benefits to 2 organizations: Baptist Health Medical Group Inc (Sonora, KY) and Fast Pace Kentucky PLLC (Franklin, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abby Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abby Carter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and CareSource list Abby 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 Abby Carter was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.