DR. SONI S CARLTON M.D.
NPI 1952356818
Dermatology in Lynchburg, VA

Q: What is Soni Carlton's NPI number?

The NPI number for Soni Carlton is 1952356818. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Q: What is Soni Carlton's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Soni Carlton was last updated on October 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment

88.2/100

CMS Quality Rating

1330 OAK LN, SUITE 101, LYNCHBURG, VA 24503(434) 847-6132(434) 845-4870 Get Directions Write a Review

NPPES record last updated: October 26, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Soni S Carlton M.d. NPPES

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

DR. SONI S CARLTON M.D. (NPI 1952356818) is an individual dermatology provider in Lynchburg, Virginia, licensed in Virginia (01011232721) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of University Of Texas Medical School At Houston (1998).

NPPES Registry Identity

NPI1952356818

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameDR. SONI S CARLTONCredential: M.D.

Location Address1330 OAK LN, SUITE 101Lynchburg, VA 24503-2513

Mailing Address1330 Oak Ln, Suite 101Lynchburg, VA 24503-2513 · (434) 847-6132 · Fax (434) 845-4870

Phone(434) 847-6132

Fax(434) 845-4870

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1998

Enumeration DateMay 22, 2006

Last NPPES UpdateOctober 26, 2007

✔ NPI 1952356818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in VA · 01011232721

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 01011232721 (VA)

Also ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X · License 01011232721 (VA)

Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License 01011232721 (VA)

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 01011232721 (VA)

1330 OAK LN, Lynchburg, VA 24503

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Other Identifiers 5

Other3915571VA · Cigna

Other277568VA · Anthem

Other310023VA · Southern Health

Medicare UPINH61841VA

Medicaid5902339VA

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

Dr. Soni S Carlton 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 ID7618161142

PECOS Enrollment IDI20101028001379

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.

Medicare Billing Reassignment

Medicare enrollment records show Soni Carlton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dermatology Consultants, Inc.

Same address

Dermatology

1330 OAK LN, SUITE 101
Lynchburg, VA 24503

Reassigned Medicare billing, Virginia enrollment
2 clinicians in this Medicare group

NPI 1649205774 (434) 847-6132

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,903 services354 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.

1,097 services902 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

587 services469 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

383 services328 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

301 services276 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

102 services79 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.

94 services91 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.

91 services85 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

44 services35 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

32 services25 patients

Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) J7308

Aminolevulinic Acid HCL is a medication applied to the skin to treat certain types of skin conditions. It works by making the skin more sensitive to light, which helps to kill abnormal skin cells. The 20% solution is a single dose of 354 mg.

25 services18 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

24 services20 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.

20 services20 patients

Application of light by qualified health care professional to destroy precancer skin growth 96573

This procedure involves a healthcare professional using a special light to target and destroy precancerous skin growths. It's a non-invasive method aimed at preventing the development of skin cancer. The process is safe, performed by trained professionals, and usually quick.

19 services17 patients

Hospital Affiliations CMS Care Compare

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490021

Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24503 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

88.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.62

Promoting Interoperability

Improvement Activities

Cost

86.22

Reported Quality Measures

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.

99%1,252 patients4/55-star benchmark: 100%

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…

16%37 patients1/55-star benchmark: 98%

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.

96%4,896 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

82%1,712 patients4/55-star benchmark: 95%

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

50%50 patients3/55-star benchmark: 100%

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…

94%4,896 patients4/55-star benchmark: 100%

Tobacco Use and Help with Quitting Among Adolescents

The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user

96%374 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 20

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

DR. SEBASTIAN J KSIONSKI MD

Pain Medicine (Pain Medicine)

1330 OAK LN
LYNCHBURG, VA 24503

Bedford County (434) 200-4175

BREAST DIAGNOSTIC SERVICES, INC.

Radiology (Diagnostic Radiology)

1330 OAK LN
LYNCHBURG, VA 24503

Bedford County (434) 947-4072

PLASTIC SURGERY ASSOCIATES OF LYNCHBURG, INC.

Plastic Surgery

1330 OAK LN, SUITE 100
LYNCHBURG, VA 24503

Bedford County (434) 384-0610

DR. SIMON HATIN M.D.

Plastic Surgery

1330 OAK LN, SUITE 100
LYNCHBURG, VA 24503

Bedford County (434) 384-0610

JUDITH A. PERROTTO M.D.

Radiology (Diagnostic Radiology)

1330 OAK LN
LYNCHBURG, VA 24503

Bedford County (434) 200-4072

MS. DEBORAH A COX MS

Audiologist

1330 OAK LN, STE 204
LYNCHBURG, VA 24503

Bedford County (434) 947-3125

EMILY CLAIRE WOODALL PA-C

Physician Assistant

1330 OAK LN, SUITE 101
LYNCHBURG, VA 24503

Bedford County (434) 847-6132

DR. NNAMDI CHARLES IWUALA MD

Internal Medicine (Hospice and Palliative Medicine)

1330 OAK LN
LYNCHBURG, VA 24503

Bedford County (434) 200-5757

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 Soni Carlton's NPI number?

The NPI number for Soni Carlton is 1952356818. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Soni Carlton located?

Soni Carlton practices at 1330 Oak Ln Suite 101, Lynchburg, VA 24503. The listed phone number is (434) 847-6132.

What is Soni Carlton's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Soni Carlton enrolled in Medicare?

Yes. Soni 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.

Which organization bills Medicare for Soni Carlton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soni Carlton reassigns Medicare benefits to Dermatology Consultants, Inc. (Lynchburg, VA). The 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 Soni Carlton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Soni Carlton affiliated with any hospitals?

According to CMS data, Soni Carlton is affiliated with Centra Health - Lynchburg Gen Hospital.

When was this NPI record last updated?

The NPPES record for Soni Carlton was last updated on October 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.