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

DR. BARRY CARLTON M.D.
NPI 1790736544
Specialist in Honolulu, HI

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
677 ALA MOANA BLVD, SUITE 1025, HONOLULU, HI 96813(808) 535-5975(808) 535-5976 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2026, Jul 13, 2026 (2 updates tracked since 2026).

About Dr. Barry Carlton M.d. NPPES

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

DR. BARRY CARLTON M.D. (NPI 1790736544) is an individual specialist in Honolulu, Hawaii, licensed in Hawaii (MD7619) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of State University Of New York Downstate Medical Center (1972).

NPPES Registry Identity

NPI1790736544
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. BARRY CARLTONCredential: M.D.
Location Address677 ALA MOANA BLVD, SUITE 1025Honolulu, HI 96813-5419
Mailing Address677 Ala Moana Blvd, Suite 1025Honolulu, HI 96813-5419 · (808) 535-5975 · Fax (808) 535-5976
Phone(808) 535-5975
Fax(808) 535-5976
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1972
Enumeration DateMay 15, 2006
Last NPPES UpdateOctober 11, 20262 updates tracked since enumeration
✔ NPI 1790736544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in HI · MD7619
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
677 ALA MOANA BLVD, SUITE 1025, Honolulu, HI 96813
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Other Identifiers 1

Medicaid072071-04HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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. Barry Carlton M.d. 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 ID6709837214
PECOS Enrollment IDI20050202000261
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 Reassignments

3

Medicare enrollment records show Barry Carlton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Queens Medical Center
0.2 mi
Urgent Care
400 KEAWE STREET, SUITE 100
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 809 clinicians in this Medicare group
NPI 1235773219 (808) 735-0007
Queens University Medical Group
0.9 mi
Multi-Specialty
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 859 clinicians in this Medicare group
NPI 1891441382 (808) 691-1000
Kapiolani Medical Specialists
1.9 mi
Multi-Specialty
1319 PUNAHOU ST
Honolulu, HI 96826
  • Reassigned Medicare billing, Hawaii enrollment
  • 370 clinicians in this Medicare group
NPI 1124071014 (808) 983-8736

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
165 services75 patients
Therapy using electrical currents 90870
Therapy using electrical currents, also known as electrotherapy, involves applying small electrical pulses to your body to stimulate healing. It can help manage pain, improve circulation, repair tissues, and strengthen muscles. It's a safe, non-invasive treatment often used in physical therapy.
52 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services17 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

DR. EUGENE WANG M.D.
Specialist
677 ALA MOANA BLVD, SUITE 1025
HONOLULU, HI 96813
Honolulu County (808) 535-5975
DR. MARJORIE MAU M.D.
Specialist
677 ALA MOANA BLVD, SUITE 1025
HONOLULU, HI 96813
Honolulu County (808) 535-5975
DR. CHAD KOYANAGI M.D.
Specialist
677 ALA MOANA BLVD, SUITE 1025
HONOLULU, HI 96813
Honolulu County (808) 535-5975
DR. MIHAE YU
Specialist
677 ALA MOANA BLVD, SUITE 1025
HONOLULU, HI 96813
Honolulu County (808) 535-5975

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 Barry Carlton's NPI number?

The NPI number for Barry Carlton is 1790736544. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Barry Carlton located?

Barry Carlton practices at 677 Ala Moana Blvd, Suite 1025, Honolulu, HI 96813. The listed phone number is (808) 535-5975.

What is Barry Carlton's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Barry Carlton enrolled in Medicare?

Yes. Barry 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 Barry Carlton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barry Carlton reassigns Medicare benefits to 3 organizations: The Queens Medical Center (Honolulu, HI), Queens University Medical Group (Honolulu, HI) and Kapiolani Medical Specialists (Honolulu, HI). 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 Barry Carlton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barry Carlton accept?

Health plans from HMSA list Barry 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.

Is Barry Carlton affiliated with any hospitals?

According to CMS data, Barry Carlton is affiliated with The Queens Medical Center.

When was this NPI record last updated?

The NPPES record for Barry Carlton was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.