DR. WILLIAM CARLTON JR. M.D.
NPI 1568875995
Neurological Surgery in Tripler Army Medical Center, HI
About Dr. William Carlton Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WILLIAM CARLTON JR. M.D. (NPI 1568875995) is an individual neurological surgery provider in Tripler Army Medical Center, Hawaii, licensed in Florida (ME131057) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and maintains a secondary practice location in Great Falls.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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. William Carlton Jr. 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.
Medicare Billing Reassignments
5Medicare enrollment records show William Carlton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Aiea, HI 96701
- Reassigned Medicare billing, Hawaii enrollment
- 809 clinicians in this Medicare group
Honolulu, HI 96813
- Reassigned Medicare billing, Hawaii enrollment
- 859 clinicians in this Medicare group
Kamuela, HI 96743
- Reassigned Medicare billing, Hawaii enrollment
- 277 clinicians in this Medicare group
Great Falls, MT 59405
- Reassigned Medicare billing, Montana enrollment
- 637 clinicians in this Medicare group
Rapid City, SD 57702
- Reassigned Medicare billing, North Dakota enrollment
- 9 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Queens Medical Center
Acute Care Hospitals · Honolulu, HIBenefis Hospitals Inc
Acute Care Hospitals · Great Falls, MTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96859 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
TRIPLER ARMY MEDICAL CENTER, HI 96859
TRIPLER ARMY MEDICAL CENTER, HI 96859
TRIPLER AMC, HI 96859
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 William Carlton's NPI number?
The NPI number for William Carlton is 1568875995. It was assigned to this individual provider in the NPPES registry on June 3, 2014.
Where is William Carlton located?
William Carlton practices at 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859. The listed phone number is (352) 294-5220.
What is William Carlton's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is William Carlton enrolled in Medicare?
Yes. William Carlton 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 William Carlton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Carlton reassigns Medicare benefits to 5 organizations: The Queens Medical Center (Aiea, HI), Queens University Medical Group (Honolulu, HI), Queens North Hawaii Community Hospital (Kamuela, HI), Benefis Hospitals Inc (Great Falls, MT) and Acute Care Surgery Of South Dakota PC (Rapid City, SD). 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 William Carlton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does William Carlton accept?
Health plans from Blue Cross Blue Shield of North Dakota and Blue Cross and Blue Shield of Montana list William Carlton 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 William Carlton affiliated with any hospitals?
According to CMS data, William Carlton is affiliated with The Queens Medical Center and Benefis Hospitals Inc.
When was this NPI record last updated?
The NPPES record for William Carlton was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.