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DR. RANDY SCOTT CARPENTER MD
NPI 1629771241
Emergency Medicine in Statesville, NC

Active since March 23, 2023PECOS Enrolled
557 BROOKDALE DR, STATESVILLE, NC 28677(330) 687-8025 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2026, Apr 6, 2026, Mar 23, 2023 (3 updates tracked since 2023).

About Dr. Randy Scott Carpenter Md NPPES

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

DR. RANDY SCOTT CARPENTER MD (NPI 1629771241) is an individual emergency medicine provider in Statesville, North Carolina, licensed in North Carolina (2026-00447) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1629771241
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. RANDY SCOTT CARPENTERCredential: MD
Location Address557 BROOKDALE DRStatesville, NC 28677-4107
Mailing Address1 Medical Center DrWinston Salem, NC 27157-0001
Phone(330) 687-8025
Sole ProprietorYes
Enumeration DateMarch 23, 2023
Last NPPES UpdateApril 13, 20263 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1629771241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 2026-00447
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
557 BROOKDALE DR, Statesville, NC 28677
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Secondary Practice Location 1

Location 11 Medical Center DrWinston Salem, NC 27157-0001 · Phone (336) 716-2011

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randy Scott Carpenter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 28677 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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 20

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

IREDELL PHYSICIAN NETWORK LLC
Specialist
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
SHANNAN LAWRENCE
Physical Therapist
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
CECILIA KAECHELE NP
Nurse Practitioner (Adult Health)
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 997-5525
KAREN KAUFFMAN CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5561
BARBARA LEE THOMAS CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5561
IMH PROF INFECT DISEASE
Specialist
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
STACEY SCHLESINGER CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
SYLVIA SELF CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661

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 Randy Carpenter's NPI number?

The NPI number for Randy Carpenter is 1629771241. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Randy Carpenter located?

Randy Carpenter practices at 557 Brookdale Dr, Statesville, NC 28677. The listed phone number is (330) 687-8025.

What is Randy Carpenter's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Randy Carpenter enrolled in Medicare?

Yes. Randy Carpenter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randy Carpenter was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.