Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADAM CARLTON MD
NPI 1619964228
Obstetrics & Gynecology in Cedar Park, TX

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
1401 MEDICAL PKWY STE 311, CEDAR PARK, TX 78613(877) 800-5722 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2026, Oct 5, 2022, Jan 24, 2022 and 11 more (14 updates tracked since 2016).

About Adam Carlton Md NPPES

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

ADAM CARLTON MD (NPI 1619964228) is an individual obstetrics & gynecology provider in Cedar Park, Texas, licensed in Texas (S8967) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1619964228
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameADAM CARLTONCredential: MD
Location Address1401 MEDICAL PKWY STE 311Cedar Park, TX 78613-5014
Mailing Address205 E University Ave Ste 200Georgetown, TX 78626-6821 · (512) 686-0207
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 29, 2005
Last NPPES UpdateAugust 4, 202614 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1619964228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in TX · S8967 Licensed in IN · 01065675A Licensed in DE · C1-0025369 Licensed in FL · ME158586 Licensed in NC · 200401375
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1401 MEDICAL PKWY STE 311, Cedar Park, TX 78613

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

Adam Carlton Md 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 ID5698734713
PECOS Enrollment IDI20041005000920, I20250704000023
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 78613 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 6

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

Counselor (Professional)
1401 MEDICAL PKWY STE 311
CEDAR PARK, TX 78613
Obstetrics & Gynecology
1401 MEDICAL PKWY STE 311
CEDAR PARK, TX 78613
Pediatrics
1401 MEDICAL PKWY STE 311
CEDAR PARK, TX 78613
Nurse Practitioner (Pediatrics)
1401 MEDICAL PKWY STE 311
CEDAR PARK, TX 78613
Family Medicine
1401 MEDICAL PKWY STE 311
CEDAR PARK, TX 78613
Social Worker (Clinical)
1401 MEDICAL PKWY STE 311
CEDAR PARK, TX 78613

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 Adam Carlton's NPI number?

The NPI number for Adam Carlton is 1619964228. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Adam Carlton located?

Adam Carlton practices at 1401 Medical Pkwy Ste 311, Cedar Park, TX 78613. The listed phone number is (877) 800-5722.

What is Adam Carlton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Adam Carlton enrolled in Medicare?

Yes. Adam 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 Adam Carlton accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Texas, HealthPartners and Oscar Insurance Company and 1 other insurer list Adam 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.

When was this NPI record last updated?

The NPPES record for Adam Carlton was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.