CHARLES JACKIE JR. CARPENTER (MD) – Surgery Physician, NPI 1073508404
Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
523 GENERAL SURGERY in AL
Provider Addresses for CHARLES JACKIE JR. CARPENTER (MD)
4300 W MAIN ST STE 21
DOTHAN, AL 363051058
Phone: (334) 793-9564
Fax: (334) 671-8907
Type: Mailing
PO BOX 6599
DOTHAN, AL 363026599
Phone: (334) 699-7900
Fax: (334) 699-7901
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $197.
Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.
Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Kerecis Limited ($111).
Total Amount
$197
General + Research + Ownership
Payments
7
Total payment records
General Amount
$197
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $111 |
| ABBVIE INC. | $39 |
| Smith+Nephew, Inc. | $30 |
| PolyNovo North America LLC | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-01-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120118000726 | I | General Surgery | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 174 | 51 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 125 | 45 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 48 | 47 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 44 | 18 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 34 | 25 | $0 |
Insurance plans in this area (ZIP 36305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| General Surgery | AL | |
| General Surgery | AL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AL | |
| Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AL | |
| Physician Assistant | AL | |
| Cardiac Electrophysiology | AL |
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