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

Active since March 23, 2023PECOS EnrolledAccepts Medicare Assignment
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: November 08, 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, is affiliated with Iredell Memorial Hospital Inc, 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
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2023
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

Secondary Practice Location 1

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

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. Randy Scott Carpenter 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 ID9234599416
PECOS Enrollment IDI20260629001298
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.

Medicare Billing Reassignment

Medicare enrollment records show Randy Carpenter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
557 BROOKDALE DR
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 580 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

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.

Specialist
557 BROOKDALE DR
STATESVILLE, NC 28677
Physical Therapist
557 BROOKDALE DR
STATESVILLE, NC 28677
Nurse Practitioner (Adult Health)
557 BROOKDALE DR
STATESVILLE, NC 28677
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Specialist
557 BROOKDALE DR
STATESVILLE, NC 28677
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Randy Carpenter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy Carpenter reassigns Medicare benefits to Wake Forest Emergency Providers (Statesville, NC). The 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 Randy Carpenter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randy Carpenter accept?

Health plans from Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. list Randy Carpenter 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 Randy Carpenter affiliated with any hospitals?

According to CMS data, Randy Carpenter is affiliated with Iredell Memorial Hospital Inc.

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 6 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.