CARLTON JOHN LEWIS D.O.
NPI 1902893928
Family Medicine in Lufkin, TX

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
10 MEDICAL CENTER BLVD, SUITE I, LUFKIN, TX 75904(936) 699-3161(936) 699-3162 Get Directions Write a Review

NPPES record last updated: May 11, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carlton John Lewis D.o. NPPES

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

CARLTON JOHN LEWIS D.O. (NPI 1902893928) is an individual family medicine provider in Lufkin, Texas, licensed in Texas (K3304) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Chi St Lukes Health Memorial Lufkin, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (1994).

NPPES Registry Identity

NPI1902893928
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCARLTON JOHN LEWISCredential: D.O.
Location Address10 MEDICAL CENTER BLVD, SUITE ILufkin, TX 75904-3173
Mailing Address10 Medical Center Blvd Ste ILufkin, TX 75904-3163
Fax(936) 699-3162
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1994
Enumeration DateOctober 4, 2005
Last NPPES UpdateMay 11, 2016
NPI 1902893928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · K3304
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10 MEDICAL CENTER BLVD, Lufkin, TX 75904

Other Identifiers 3

Medicare UPING18351TX
Medicare ID-Type Unspecified00392UTX
Medicaid155879301TX

Accepted 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

Carlton John Lewis D.o. 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 ID7416960760
PECOS Enrollment IDI20100623000350
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 15

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.
1,133 services292 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.
294 services166 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
194 services194 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
173 services103 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
113 services38 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
97 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Lukes Health Memorial Lufkin

Acute Care Hospitals · Lufkin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450211
Location1201 West Frank StreetLufkin, TX 75901 · Angelina County
Emergency services Birthing friendly

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75904 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.69
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 34

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims13 services$153.15 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers51 claims133 services$5.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers18 claims21 services$1.08 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,980 services$6.76 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier11 claims44 services$1.54 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims550 services$0.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Internal Medicine
10 MEDICAL CENTER BLVD, SUITE E
LUFKIN, TX 75904
Internal Medicine
10 MEDICAL CENTER BLVD, SUITE E
LUFKIN, TX 75904
Dietitian, Registered
10 MEDICAL CENTER BLVD, SUITE A
LUFLKIN, TX 75904
Internal Medicine (Pulmonary Disease)
10 MEDICAL CENTER BLVD, SUITE B
LUFKIN, TX 75904
Internal Medicine (Endocrinology, Diabetes & Metabolism)
10 MEDICAL CENTER BLVD, SUITE A
LUFKIN, TX 75904
Anesthesiology (Pain Medicine)
10 MEDICAL CENTER BLVD, SUITE C
LUFKIN, TX 75904
Thoracic Surgery (Cardiothoracic Vascular Surgery)
10 MEDICAL CENTER BLVD, SUITE J
LUFKIN, TX 75904
Thoracic Surgery (Cardiothoracic Vascular Surgery)
10 MEDICAL CENTER BLVD, SUITE J
LUFKIN, TX 75904

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 Carlton Lewis's NPI number?

The NPI number for Carlton Lewis is 1902893928. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Carlton Lewis located?

Carlton Lewis practices at 10 Medical Center Blvd Suite I, Lufkin, TX 75904. The listed phone number is (936) 699-3161.

What is Carlton Lewis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carlton Lewis enrolled in Medicare?

Yes. Carlton Lewis 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 Carlton Lewis accept?

Health plans from Blue Cross and Blue Shield of Texas list Carlton Lewis 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 Carlton Lewis affiliated with any hospitals?

According to CMS data, Carlton Lewis is affiliated with Chi St Lukes Health Memorial Lufkin and Woodland Heights Medical Center.

When was this NPI record last updated?

The NPPES record for Carlton Lewis was last updated on May 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.