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

DR. WENDY CARLTON MD
NPI 1801901236
Pediatrics in Washington, NC

Active since August 19, 2006PECOS Enrolled
120 W MARTIN LUTHER KING JR DR, WASHINGTON, NC 27889(602) 752-7470 Get Directions Write a Review

NPPES record last updated: October 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 31, 2026, May 2, 2023, Feb 5, 2020 (3 updates tracked since 2020).

About Dr. Wendy Carlton Md NPPES

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

DR. WENDY CARLTON MD (NPI 1801901236) is an individual pediatrics provider in Washington, North Carolina, licensed in North Carolina (9901510) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1994).

NPPES Registry Identity

NPI1801901236
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. WENDY CARLTONCredential: MD
Location Address120 W MARTIN LUTHER KING JR DRWashington, NC 27889-4906
Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1994
Enumeration DateAugust 19, 2006
Last NPPES UpdateOctober 31, 20263 updates tracked since enumeration
NPPES CertifiedOctober 31, 2026
✔ NPI 1801901236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 9901510
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
120 W MARTIN LUTHER KING JR DR, Washington, NC 27889

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. Wendy 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.

PECOS PAC ID7618978354
PECOS Enrollment IDI20240502004117
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 Wendy Carlton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
120 W MARTIN LUTHER KING JR DR
Washington, NC 27889
  • Reassigned Medicare billing, North Carolina enrollment
  • 40 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 3

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Ecu Health Bertie Hospital

Critical Access Hospitals · Windsor, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341304
Location1403 S King StWindsor, NC 27983 · Bertie County
Emergency services

Vidant Chowan Hospital

Critical Access Hospitals · Edenton, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number341318
Location211 Virginia RdEdenton, NC 27932 · Chowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27889 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.

Counselor (Mental Health)
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Nurse Practitioner (Family)
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Counselor (Addiction (Substance Use Disorder))
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Social Worker (Clinical)
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Nurse Practitioner (Family)
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Dentist
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Clinic/Center (Federally Qualified Health Center (FQHC))
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Social Worker (Clinical)
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889

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 Wendy Carlton's NPI number?

The NPI number for Wendy Carlton is 1801901236. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Wendy Carlton located?

Wendy Carlton practices at 120 W Martin Luther King Jr Dr, Washington, NC 27889. The listed phone number is (602) 752-7470.

What is Wendy Carlton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Wendy Carlton enrolled in Medicare?

Yes. Wendy 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 organization bills Medicare for Wendy Carlton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wendy Carlton reassigns Medicare benefits to Metropolitan Community Health Services, Inc (Washington, 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 Wendy Carlton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wendy Carlton accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Wendy 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 Wendy Carlton affiliated with any hospitals?

According to CMS data, Wendy Carlton is affiliated with Ecu Health Medical Center, Ecu Health Bertie Hospital and Vidant Chowan Hospital.

When was this NPI record last updated?

The NPPES record for Wendy Carlton was last updated on October 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.