LENA CARLETON MD
NPI 1871120436
Emergency Medicine in Rockford, IL
About Lena Carleton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LENA CARLETON MD (NPI 1871120436) is an individual emergency medicine provider in Rockford, Illinois, licensed in Illinois (036.161964) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Maryland Medical Center, and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Lena Carleton 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.
Medicare Billing Reassignments
3Medicare enrollment records show Lena Carleton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockford, IL 61114
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Baltimore, MD 21218
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: University Of Maryland Physicians PA
- 614 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 234 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Maryland Medical Center
Acute Care Hospitals · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCKFORD, IL 61114
ROCKFORD, IL 61114
ROCKFORD, IL 61114
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 Lena Carleton's NPI number?
The NPI number for Lena Carleton is 1871120436. It was assigned to this individual provider in the NPPES registry on March 24, 2020.
Where is Lena Carleton located?
Lena Carleton practices at 8201 E Riverside Blvd, Rockford, IL 61114. The listed phone number is (815) 971-7000.
What is Lena Carleton's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Lena Carleton enrolled in Medicare?
Yes. Lena Carleton 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 Lena Carleton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lena Carleton reassigns Medicare benefits to 3 organizations: Rockford Health Physicians (Rockford, IL), University Of Maryland Physicians P.A. (Baltimore, MD) and University Of Maryland Emergency Medicine Associates, PA (Baltimore, MD). 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 Lena Carleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lena Carleton affiliated with any hospitals?
According to CMS data, Lena Carleton is affiliated with University Of Maryland Medical Center.
When was this NPI record last updated?
The NPPES record for Lena Carleton was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lena Carleton, MD · NPI 1871120436
Emergency Medicine physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since March 24, 2020.
## Identity
- **NPI:** 1871120436 (Entity type: Individual)
- **Enumerated:** March 24, 2020
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036.161964 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 8201 E RIVERSIDE BLVD, Rockford, IL 61114-2300
- **Phone:** (815) 971-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Rockford Health Physicians (NPI 1043242886, Rockford, IL); University Of Maryland Physicians P.A. (NPI 1932906633, Baltimore, MD); University Of Maryland Emergency Medicine Associates, PA (NPI 1811704208, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1871120436) · Data from the CMS NPPES public registry.