DR. KEVIN PATRICK CARMEN M.D.
NPI 1558565358
Psychiatry & Neurology - Psychiatry in Hickory, NC

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
1109 2ND AVE SW, HICKORY, NC 28602(828) 327-6026(828) 327-8796 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2024, Oct 26, 2023, Jun 6, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Kevin Patrick Carmen M.d. NPPES

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

DR. KEVIN PATRICK CARMEN M.D. (NPI 1558565358) is an individual psychiatry provider in Hickory, North Carolina, licensed in Colorado (DR.0059446) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1558565358
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KEVIN PATRICK CARMENCredential: M.D.
Location Address1109 2ND AVE SWHickory, NC 28602-2545
Mailing Address1109 2nd Ave SwHickory, NC 28602-2545 · (828) 327-6026 · Fax (330) 588-8605
Fax(828) 327-8796
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 14, 2007
Last NPPES UpdateMarch 6, 20244 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
✔ NPI 1558565358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CO · DR.0059446✔ Licensed in OH · 35.098114✔ Licensed in KY · TP878✔ Licensed in VA · 0101280536
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 35.098114 (OH), D70363 (MD)
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 141986 (NC)
1109 2ND AVE SW, Hickory, NC 28602

Secondary Practice Locations 3

Location 11530 Lone Oak RdPaducah, KY 42003-7901 · Phone (513) 853-8520
Location 21701 Mercy Health PlCincinnati, OH 45237-6147 · Phone (513) 853-8520 · Fax (513) 442-7695
Location 38580 Magellan PkwyRichmond, VA 23227-1149 · Phone (513) 853-8520

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Patrick Carmen M.d. 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 ID9234276353
PECOS Enrollment IDI20111122000917
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

12

Medicare enrollment records show Kevin Carmen reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
68 HOSPITAL RD
Sylva, NC 28779
  • Reassigned Medicare billing, North Carolina enrollment
  • 34 clinicians in this Medicare group
Cardiovascular Disease
8580 MAGELLAN PKWY
Richmond, VA 23227
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
Cardiovascular Disease
8580 MAGELLAN PKWY
Richmond, VA 23227
  • Reassigned Medicare billing, Virginia enrollment
  • 581 clinicians in this Medicare group
Surgery
4600 MCAULEY PL STE 600
Blue Ash, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 481 clinicians in this Medicare group
Surgery
100 MEDICAL CENTER DR
Springfield, OH 45504
  • Reassigned Medicare billing, Ohio enrollment
  • 215 clinicians in this Medicare group
Dentist
1044 BELMONT AVE
Youngstown, OH 44504
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
Surgery
830 W HIGH ST STE 206
Lima, OH 45801
  • Reassigned Medicare billing, Ohio enrollment
  • 439 clinicians in this Medicare group
Surgery
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 227 clinicians in this Medicare group
Counselor
35900 EUCLID AVENUE
Willoughby, OH 44094
  • Reassigned Medicare billing, Ohio enrollment
  • 34 clinicians in this Medicare group
Surgery
1530 LONE OAK RD
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 283 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28602 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 8

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

Counselor (Addiction (Substance Use Disorder))
1109 2ND AVE SW
HICKORY, NC 28602
Social Worker (Clinical)
1109 2ND AVE SW
HICKORY, NC 28602
Counselor (Professional)
1109 2ND AVE SW
HICKORY, NC 28602
Counselor (Mental Health)
1109 2ND AVE SW
HICKORY, NC 28602
Chiropractor
1109 2ND AVE SW
HICKORY, NC 28602
Psychiatry & Neurology (Psychiatry)
1109 2ND AVE SW
HICKORY, NC 28602
Counselor (Mental Health)
1109 2ND AVE SW
HICKORY, NC 28602
Counselor (Addiction (Substance Use Disorder))
1109 2ND AVE SW
HICKORY, NC 28602

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 Kevin Carmen's NPI number?

The NPI number for Kevin Carmen is 1558565358. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Kevin Carmen located?

Kevin Carmen practices at 1109 2nd Ave SW, Hickory, NC 28602. The listed phone number is (828) 327-6026.

What is Kevin Carmen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kevin Carmen enrolled in Medicare?

Yes. Kevin Carmen 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.

Which organizations bill Medicare for Kevin Carmen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Carmen reassigns Medicare benefits to 12 organizations: Sylva Emergency Group LLC (Sylva, NC), Bon Secours Medical Group Hampton Roads Specialty Care LLC (Richmond, VA), Bon Secours Medical Group Richmond Specialty Care LLC (Richmond, VA), Mercy Health Physicians Cincinnati Specialty Care LLC (Blue Ash, OH), Mercy Health Physicians Springfield Specialty Care LLC (Springfield, OH) and 7 more organizations, listed in the Medicare section above. 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 Kevin Carmen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Carmen accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 3 other insurers list Kevin Carmen 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 Kevin Carmen affiliated with any hospitals?

According to CMS data, Kevin Carmen is affiliated with Mercy Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Carmen was last updated on March 6, 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.