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LATOYA M CARSTARPHEN
NPI 1790134369
Nurse Practitioner - Family in Birmingham, AL

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment
96.24/100
CMS Quality Rating
48 MEDICAL PARK DR E, SUITE 154, BIRMINGHAM, AL 35235(205) 202-5650 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Latoya M Carstarphen NPPES

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

LATOYA M CARSTARPHEN (NPI 1790134369) is an individual family provider in Birmingham, Alabama, licensed in Alabama (1-127925) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790134369
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLATOYA M CARSTARPHEN
Location Address48 MEDICAL PARK DR E, SUITE 154Birmingham, AL 35235-3400
Mailing Address4145 Overlook CirTrussville, AL 35173-3848 · (251) 593-7035
Phone(205) 202-5650
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 6, 2016
✔ NPI 1790134369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-127925
48 MEDICAL PARK DR E, Birmingham, AL 35235
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Latoya M Carstarphen 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 ID941596837
PECOS Enrollment IDI20160831002717
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 moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35235 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

96.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.02
Promoting Interoperability100
Improvement Activities40

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.

JAMES R DOLLAR MD
Obstetrics & Gynecology (Gynecology)
48 MEDICAL PARK DR E, SUITE 355
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3036
EASTERN MEDICAL SPECIALISTS, P.C.
Internal Medicine
48 MEDICAL PARK DR E, SUITE 457
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3800
DR. DALTON ANTHONY BEDSOLE M.D.
Specialist
48 MEDICAL PARK DR E, SUITE 350
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3040
HUGH P. BRINDLEY D.M.D.,P.A.
Dentist (Oral and Maxillofacial Surgery)
48 MEDICAL PARK DR E, SUITE 158
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3060
DR. R REX PAYNE M.D.
Dermatology (Dermatopathology)
48 MEDICAL PARK DR E, SUITE 458
BIRMINGHAM, AL 35235
Jefferson County (205) 838-1811
EASTERN OBSTETRICS AND GYNECOLOGY, P.C.
Obstetrics & Gynecology
48 MEDICAL PARK DR E, SUITE 355
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3036
MRS. LAUREN TOOHEY NYE MS, CCC-A
Audiologist
48 MEDICAL PARK DR E, SUITE 153
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3755
DR. ANKREHAH TRIMBLE JOHNSON DO
Family Medicine
48 MEDICAL PARK DR E, SUITE 154
BIRMINGHAM, AL 35235
Jefferson County (205) 202-5650

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 Latoya Carstarphen's NPI number?

The NPI number for Latoya Carstarphen is 1790134369. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Latoya Carstarphen located?

Latoya Carstarphen practices at 48 Medical Park Dr E Suite 154, Birmingham, AL 35235. The listed phone number is (205) 202-5650.

What is Latoya Carstarphen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Latoya Carstarphen enrolled in Medicare?

Yes. Latoya Carstarphen 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 Latoya Carstarphen accept?

Health plans from Blue Cross and Blue Shield of Alabama list Latoya Carstarphen 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 Latoya Carstarphen was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.