DR. WILLIAM CARLTON JR. M.D.
NPI 1568875995
Neurological Surgery in Tripler Army Medical Center, HI

Active since June 03, 2014PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859(352) 294-5220(352) 392-8413 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 is a graduate of Wake Forest University School Of Medicine (2014).

NPPES Registry Identity

NPI1568875995
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. WILLIAM CARLTON JR.Credential: M.D.
Location Address1 JARRETT WHITE RDTripler Army Medical Center, HI 96859-5001
Mailing AddressUf Department Of Neurosurgery, Po Box 100265Gainesville, FL 32610-0001 · (352) 294-5220 · Fax (352) 392-8413
Fax(352) 392-8413
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2014
Enumeration DateJune 3, 2014
Last NPPES UpdateJune 3, 2022
NPPES CertifiedJune 3, 2022
NPI 1568875995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in FL · ME131057 Licensed in HI · ME131057 Licensed in MT · 112142
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859

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. 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.

PECOS PAC ID9133347230
PECOS Enrollment IDI20220812001701, I20250825003923
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

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, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Physician 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.

New Patient
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

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.

Social Worker (Clinical)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Pediatrics
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Internal Medicine
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859
Occupational Therapist
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
General Practice
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Nurse Practitioner (Psychiatric/Mental Health)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
General Practice
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Ophthalmology
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, 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.

What insurance does William Carlton accept?

Health plans from 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.