DR. RICHARD A CARTER (MD) – Family Medicine Physician, NPI 1639155575
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
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Provider Addresses for DR. RICHARD A CARTER (MD)
215, North Allison Avenue, Barbourville, Knox County, Kentucky, 40906, United States
BARBOURVILLE, KY 409061336
Phone: (606) 546-9287
Fax: (606) 546-9363
Type: Location
PO BOX 1150
BARBOURVILLE, KY 409065150
Phone: (606) 546-9287
Fax: (606) 546-9363
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 84 Open Payments records for all available years, with a total value of $1,431.
Total Amount is formed as General ($1,431) + Research ($0) + Ownership ($0) = $1,431.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Lilly USA, LLC ($336).
Total Amount
$1,431
General + Research + Ownership
Payments
84
Total payment records
General Amount
$1,431
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $336 |
| AstraZeneca Pharmaceuticals LP | $172 |
| REVANCE THERAPEUTICS, INC. | $171 |
| Bayer Healthcare Pharmaceuticals Inc. | $100 |
| Amgen Inc. | $87 |
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: 2005-04-27
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 |
|---|---|---|---|---|
| I20050427000179 | I | Family Practice | KY | 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 | 87 | 14 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 50 | 47 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 39 | 20 | $0 |
| 81003 | Automated urinalysis test | 38 | 28 | $0 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 35 | 35 | $0 |
Insurance plans in this area (ZIP 40906)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | KY | 85610 | Blood test, clotting time | 69 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KY | |
| Physician Assistant | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| O P T O M E T R Y | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Emergency Medicine | KY | |
| Physician Assistant | KY |
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