ANTHONY CRAIG CARTER (MD) – Internal Medicine Physician, NPI 1104890276
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,216 INTERNAL MEDICINE in KY
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Provider Addresses for ANTHONY CRAIG CARTER (MD)
604, North Main Street, Grandview, Tompkinsville, Monroe County, Kentucky, 42167, United States
TOMPKINSVILLE, KY 421671128
Phone: (270) 407-5150
Fax: (270) 407-5153
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 114 Open Payments records for all available years, with a total value of $1,717.
Total Amount is formed as General ($1,717) + Research ($0) + Ownership ($0) = $1,717.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($474).
Total Amount
$1,717
General + Research + Ownership
Payments
114
Total payment records
General Amount
$1,717
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-05-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100223000516 | I | Geriatric Medicine | KY | TBD |
| I20130520000339 | I | Internal Medicine | TN | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 315 | 92 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 184 | 92 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 149 | 90 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 75 | 45 | $0 |
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 65 | 64 | $0 |
Insurance plans in this area (ZIP 42167)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | NJ | |
| Emergency Medicine | KY | |
| Nurse Practitioner | TN | |
| - | KY | |
| Emergency Medicine | TN | |
| Emergency Medicine | VA | |
| Emergency Medicine | KY | |
| Family Practice | KY | |
| General Surgery | KY | |
| Family Practice | KY |
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