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DR. CAROLINE FRANKUM CARLTON MD
NPI 1821086356
Obstetrics & Gynecology in Batesville, AR

Active since October 10, 2005PECOS EnrolledAccepts Medicare Assignment
1215 SIDNEY ST, SUITE 202, BATESVILLE, AR 72501(870) 262-2000(870) 262-1062 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Caroline Frankum Carlton Md NPPES

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

DR. CAROLINE FRANKUM CARLTON MD (NPI 1821086356) is an individual obstetrics & gynecology provider in Batesville, Arkansas, licensed in Arkansas (E4512) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2001).

NPPES Registry Identity

NPI1821086356
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. CAROLINE FRANKUM CARLTONCredential: MD
Location Address1215 SIDNEY ST, SUITE 202Batesville, AR 72501-7203
Mailing Address1215 Sidney St, Suite 202Batesville, AR 72501-7203 · (870) 262-2000 · Fax (870) 262-1062
Phone(870) 262-2000
Fax(870) 262-1062
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2001
Enumeration DateOctober 10, 2005
Last NPPES UpdateNovember 6, 2012
✔ NPI 1821086356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AR · E4512
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1215 SIDNEY ST, Batesville, AR 72501
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Other Identifiers 2

Medicare UPINI38734
Other5N297AR · Medicare Id Type Unspecified

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Caroline Frankum 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 ID2769413749
PECOS Enrollment IDI20050830000271
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 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 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.
60 services27 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
40 services40 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
36 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72501 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
58%132 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
89%684 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,169 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
30%277 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%341 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
30%1,521 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
29%627 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
7%881 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 715 patients
Patients tobacco: 9% · 141 patients
80%715 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,521 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
16%1,521 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
30%1,521 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

JOHN R LARSON MD
Pain Medicine (Interventional Pain Medicine)
1215 SIDNEY ST, SUITE 203
BATESVILLE, AR 72501
Independence County (870) 262-6155
BATESVILLE FAMILY PRACTICE CLINIC PA
Family Medicine
1215 SIDNEY ST, STE 300
BATESVILLE, AR 72501
Independence County (870) 793-1126
WHITE RIVER HEALTH SYSTEM, INC.
Clinic/Center (Rural Health)
1215 SIDNEY ST, STE 300
BATESVILLE, AR 72501
Independence County (870) 793-1126
KATHERINE APPLEGET MD
Obstetrics & Gynecology
1215 SIDNEY ST
BATESVILLE, AR 72501
Independence County (870) 262-2000
MARCHETA GOODIN LCSW
Social Worker (Clinical)
1215 SIDNEY ST, SUITE 201
BATESVILLE, AR 72501
Independence County (870) 262-1357
DR. JULIA A ROULIER MD
Family Medicine
1215 SIDNEY ST, STE 300
BATESVILLE, AR 72501
Independence County (870) 793-1126
DR. ROBERT V BAKER MD
Family Medicine
1215 SIDNEY ST, SUITE 300
BATESVILLE, AR 72501
Independence County (870) 793-1126
AMANDA S. BROCK ANP
Nurse Practitioner (Women's Health)
1215 SIDNEY ST, SUITE 202
BATESVILLE, AR 72501
Independence County (870) 262-2000

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 Caroline Carlton's NPI number?

The NPI number for Caroline Carlton is 1821086356. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Caroline Carlton located?

Caroline Carlton practices at 1215 Sidney St Suite 202, Batesville, AR 72501. The listed phone number is (870) 262-2000.

What is Caroline Carlton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Caroline Carlton enrolled in Medicare?

Yes. Caroline 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.

What insurance does Caroline Carlton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Caroline 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.

When was this NPI record last updated?

The NPPES record for Caroline Carlton was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.