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MR. CARTER O LOMAX JR. M.D.
NPI 1851386197
Obstetrics & Gynecology in Kalamazoo, MI

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
2854 S 11TH ST, KALAMAZOO, MI 49009(269) 345-6197(269) 345-9734 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 1, 2022, Aug 11, 2021, Oct 23, 2020 and 1 more (4 updates tracked since 2019).

About Mr. Carter O Lomax Jr. M.d. NPPES

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

MR. CARTER O LOMAX JR. M.D. (NPI 1851386197) is an individual obstetrics & gynecology provider in Kalamazoo, Michigan, licensed in Michigan (CL045203) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1851386197
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. CARTER O LOMAX JR.Credential: M.D.
Location Address2854 S 11TH STKalamazoo, MI 49009-2129
Mailing Address2854 S 11th StKalamazoo, MI 49009-2129 · (269) 345-6197 · Fax (269) 345-9734
Phone(269) 345-6197
Fax(269) 345-9734
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateSeptember 13, 2005
Last NPPES UpdateFebruary 1, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1851386197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · CL045203
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.
2854 S 11TH ST, Kalamazoo, MI 49009
Open in Google Maps ↗

Other Identifiers 4

Other1603909391MI · Blue Cross Blue Shield
Other160038782Railroad Medicare
Other730250MI · Php
Medicaid1876740MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Mr. Carter O Lomax Jr. 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 ID9234222126
PECOS Enrollment IDI20100728000177
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 2

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
14 services14 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49009 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

Other Providers at the Same Location NPPES 12

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

JANE E WOODWARD CNM
Advanced Practice Midwife
2854 S 11TH ST
KALAMAZOO, MI 49009
Kalamazoo County (269) 345-6197
DR. WENDY L BAUER M.D.
Obstetrics & Gynecology
2854 S 11TH ST
KALAMAZOO, MI 49009
Kalamazoo County (269) 345-6197
LAUREN STOKES
Obstetrics & Gynecology
2854 S 11TH ST
KALAMAZOO, MI 49009
Kalamazoo County (269) 345-6197
CHRISTIANA ANGELINA DEWYS PA-C
Physician Assistant
2854 S 11TH ST
KALAMAZOO, MI 49009
Kalamazoo County (269) 345-6197
DR. JOSEPH L RIETHMAN M.D.
Obstetrics & Gynecology
2854 S 11TH ST
KALAMAZOO, MI 49009
Kalamazoo County (269) 345-6197
BRITTANY JOY POST WHNP-BC
Nurse Practitioner (Women's Health)
2854 S 11TH ST
KALAMAZOO, MI 49009
Kalamazoo County (269) 345-6197
PATRICIA R ZULL CNM
Nurse Practitioner (Family)
2854 S 11TH ST
KALAMAZOO, MI 49009
Kalamazoo County (269) 345-6197
MRS. MACKENZIE LEIGH-ROUSSE ARNOLD WHNP, CNP, APN
Nurse Practitioner (Women's Health)
2854 S 11TH ST
KALAMAZOO, MI 49009
Kalamazoo County (269) 345-6197

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 Carter Lomax's NPI number?

The NPI number for Carter Lomax is 1851386197. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Carter Lomax located?

Carter Lomax practices at 2854 S 11th St, Kalamazoo, MI 49009. The listed phone number is (269) 345-6197.

What is Carter Lomax's specialty?

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

Is Carter Lomax enrolled in Medicare?

Yes. Carter Lomax 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 Carter Lomax accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Carter Lomax 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 Carter Lomax affiliated with any hospitals?

According to CMS data, Carter Lomax is affiliated with Bronson Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Carter Lomax was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.