CARLTON DELK LANCASTER JR. MD
NPI 1508941857
Internal Medicine in Dalton, GA
Active since October 26, 2006PECOS Enrolled
About Carlton Delk Lancaster Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLTON DELK LANCASTER JR. MD (NPI 1508941857) is an individual internal medicine provider in Dalton, Georgia, licensed in Georgia (15392) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
NPI1508941857
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCARLTON DELK LANCASTER JR.Credential: MD
Location Address475 REED RD STE 104Dalton, GA 30720-6310
Mailing Address475 Reed Rd Ste 104Dalton, GA 30720-6310 · (706) 278-1622 · Fax (706) 272-9445
Phone(706) 278-1622
Fax(706) 272-9445
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateJanuary 25, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2024
✔ NPI 1508941857 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 GA · 15392
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.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 015392 (GA)
475 REED RD STE 104, Dalton, GA 30720
Other Identifiers 4
Other01709412GA · Amerigroup
Other507792GA · Wellcare
OtherP01091141GA · Rr Medicare
Medicaid000153238CGA
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Carlton Delk Lancaster Jr. Md 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30720 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.
Reported Quality Measures
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
30%304 patients2/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
20%350 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
54%590 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
33%819 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,039 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,411 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
12%336 patients1/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%184 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
61%1,213 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
76%336 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
60%1,084 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
30%1,226 patients2/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
7%827 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 92% · 818 patients
Patients tobacco: 24% · 54 patients
81%818 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%1,213 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
31%1,213 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
36%1,213 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers46 claims47 services$201.96 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
475 REED RD STE 104
DALTON, GA 30720
DALTON, GA 30720
Internal Medicine (Endocrinology, Diabetes & Metabolism)
475 REED RD STE 104
DALTON, GA 30720
DALTON, GA 30720
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 Carlton Lancaster's NPI number?
The NPI number for Carlton Lancaster is 1508941857. It was assigned to this individual provider in the NPPES registry on October 26, 2006.
Where is Carlton Lancaster located?
Carlton Lancaster practices at 475 Reed Rd Ste 104, Dalton, GA 30720. The listed phone number is (706) 278-1622.
What is Carlton Lancaster's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Carlton Lancaster enrolled in Medicare?
Yes. Carlton Lancaster is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Carlton Lancaster was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Carlton Delk Lancaster Jr., MD · NPI 1508941857
Internal Medicine physician in Dalton, Georgia. Individual provider, active in the CMS NPPES registry since October 26, 2006.
## Identity
- **NPI:** 1508941857 (Entity type: Individual)
- **Enumerated:** October 26, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 15392 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 475 REED RD STE 104, Dalton, GA 30720-6310
- **Phone:** (706) 278-1622 · **Fax:** (706) 272-9445
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 25, 2024
- **Other identifiers:** Other 01709412 (GA); Other 507792 (GA); Other P01091141 (GA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1508941857) · Data from the CMS NPPES public registry.