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RUSSELL W CARTER D.O.
NPI 1912976085
Internal Medicine - Gastroenterology in Paducah, KY

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2605 KENTUCKY AVE, SUITE 202, PADUCAH, KY 42003(270) 415-4690(270) 415-4691 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2020, Aug 18, 2016, Nov 23, 2015 (3 updates tracked since 2015).

About Russell W Carter D.o. NPPES

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

RUSSELL W CARTER D.O. (NPI 1912976085) is an individual gastroenterology provider in Paducah, Kentucky, licensed in Kentucky (02476) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Paducah, and is a graduate of Ohio University, College Of Osteopathic Medicine (1990).

NPPES Registry Identity

NPI1912976085
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameRUSSELL W CARTERCredential: D.O.
Location Address2605 KENTUCKY AVE, SUITE 202Paducah, KY 42003-3800
Mailing Address2605 Kentucky Ave, Suite 306Paducah, KY 42003-3800 · (270) 415-4690 · Fax (270) 415-4691
Phone(270) 415-4690
Fax(270) 415-4691
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1990
Enumeration DateMarch 14, 2006
Last NPPES UpdateDecember 7, 20203 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1912976085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in KY · 02476✔ Licensed in IL · 036102415
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2605 KENTUCKY AVE, Paducah, KY 42003
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Other Identifiers 1

Medicaid64024763KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Russell W Carter 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 ID6002957883
PECOS Enrollment IDI20110128000256
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 10

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
214 services209 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
178 services170 patients
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.
102 services91 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
85 services85 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
70 services70 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
48 services48 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Jackson Purchase Medical Center

Acute Care Hospitals · Mayfield, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180116
Location1099 Medical Center CircleMayfield, KY 42066 · Graves County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

DR. SUSAN KATHLEEN MUELLER M.D.
Obstetrics & Gynecology
2605 KENTUCKY AVE, SUITE 103
PADUCAH, KY 42003
McCracken County (270) 444-9199
ALEXA T PAYNE
Nurse Practitioner (Family)
2605 KENTUCKY AVE, SUITE 601
PADUCAH, KY 42003
McCracken County (270) 408-4368
MISS SUSIE J JONES ARNP
Nurse Practitioner (Family)
2605 KENTUCKY AVE, SUITE 202
PADUCAH, KY 42003
McCracken County (270) 415-4690
BRET A. AVRA, DMD, PSC.
Dentist (Oral and Maxillofacial Surgery)
2605 KENTUCKY AVE, STE #302
PADUCAH, KY 42003
McCracken County (270) 443-1717
DALE PRESTON FIGGE MD
Obstetrics & Gynecology (Gynecology)
2605 KENTUCKY AVE, STE 402
PADUCAH, KY 42003
McCracken County (270) 442-7181
BRET A AVRA D,M.D.
Dentist (Oral and Maxillofacial Surgery)
2605 KENTUCKY AVE, STE #302
PADUCAH, KY 42003
McCracken County (270) 443-1717
DR. ELIZABETH CLAIRE MCGREGOR MD
Pediatrics
2605 KENTUCKY AVE, DOCTOR'S BUILDING #3
PADUCAH, KY 42003
McCracken County (270) 443-7534
GLEN CHANEY MD
Pediatrics
2605 KENTUCKY AVE
PADUCAH, KY 42003
McCracken County (270) 744-9600

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 Russell Carter's NPI number?

The NPI number for Russell Carter is 1912976085. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Russell Carter located?

Russell Carter practices at 2605 Kentucky Ave Suite 202, Paducah, KY 42003. The listed phone number is (270) 415-4690.

What is Russell Carter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Russell Carter enrolled in Medicare?

Yes. Russell Carter 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 Russell Carter accept?

Health plans from CareSource list Russell Carter 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 Russell Carter affiliated with any hospitals?

According to CMS data, Russell Carter is affiliated with Baptist Health Paducah and Jackson Purchase Medical Center.

When was this NPI record last updated?

The NPPES record for Russell Carter was last updated on December 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.