ADAM CARLTON MD
NPI 1619964228
Obstetrics & Gynecology in Cedar Park, TX
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, maintains 2 additional practice locations, and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
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.
Medicare Billing Reassignments
12Medicare enrollment records show Adam Carlton reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mansfield, TX 76063
- Reassigned Medicare billing, Texas enrollment
- 127 clinicians in this Medicare group
Grand Prairie, TX 75052
- Reassigned Medicare billing, Texas enrollment
- 562 clinicians in this Medicare group
Alexandria, LA 71301
- Reassigned Medicare billing, Louisiana enrollment
- 34 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 62 clinicians in this Medicare group
Shelbyville, IN 46176
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Dhp Of Indiana, PC
- 12 clinicians in this Medicare group
Wisconsin Rapids, WI 54494
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Aspirus Medical Group, Inc.
- 415 clinicians in this Medicare group
Stevens Point, WI 54482
- Reassigned Medicare billing, Wisconsin enrollment
- 633 clinicians in this Medicare group
Mangonia Park, FL 33407
- Reassigned Medicare billing, Florida enrollment
- 237 clinicians in this Medicare group
Salisbury, MD 21801
- Reassigned Medicare billing, Maryland enrollment
- 27 clinicians in this Medicare group
Seaford, DE 19973
- Reassigned Medicare billing, Delaware enrollment
- 27 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.
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.
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.
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.
Which organizations bill Medicare for Adam Carlton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Carlton reassigns Medicare benefits to 12 organizations: Arlington Physician Services PA (Mansfield, TX), Medhealth (Grand Prairie, TX), Dhp Of Louisiana PC (Alexandria, LA), Dhp Of Arkansas PA (Little Rock, AR), Dhp Of Indiana, P.C. (Shelbyville, IN) 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 Adam Carlton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adam Carlton accept?
Health plans from Aspirus Health Plan, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Health Advantage and Molina Healthcare and 3 other insurers 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 2 months 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.
# Adam Carlton, MD · NPI 1619964228
Obstetrics & Gynecology physician in Cedar Park, Texas. Individual provider, active in the CMS NPPES registry since September 29, 2005.
## Identity
- **NPI:** 1619964228 (Entity type: Individual)
- **Enumerated:** September 29, 2005
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** S8967 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1401 MEDICAL PKWY STE 311, Cedar Park, TX 78613-5014
- **Phone:** (877) 800-5722
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Arlington Physician Services PA (NPI 1093144610, Mansfield, TX); Medhealth (NPI 1558762690, Grand Prairie, TX); Dhp Of Louisiana PC (NPI 1013303056, Alexandria, LA); Dhp Of Arkansas PA (NPI 1992068878, Little Rock, AR); Dhp Of Indiana, P.C. (NPI 1588387450, Shelbyville, IN); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** August 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619964228) · Data from the CMS NPPES public registry.