DR. AMY D CARRILLO (DO) – Obstetrics & Gynecology Physician, NPI 1780878330
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
630 OBSTETRICS/GYNECOLOGY in KY
Provider Addresses for DR. AMY D CARRILLO (DO)
496 Southland Dr
Lexington, KY 405031827
Phone: (859) 288-2425
Fax: (859) 721-3918
Type: Location
The Box, 4-6, Ram Place, Homerton, London Borough of Hackney, London, Greater London, England, E9 6LT, United Kingdom
LONDON, KY 407430936
Phone: (606) 330-7840
Fax: (606) 330-7825
Type: Mailing
104, North Eagle Creek Drive, Lexington, Fayette County, Kentucky, 40509, United States
LEXINGTON, KY 405099087
Phone: (859) 967-5848
Fax: (859) 967-5473
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $675.
Total Amount is formed as General ($675) + Research ($0) + Ownership ($0) = $675.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Aspira Women's Health Inc ($167).
Total Amount
$675
General + Research + Ownership
Payments
23
Total payment records
General Amount
$675
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Aspira Women's Health Inc | $167 |
| Hologic Sales and Service, LLC | $157 |
| PFIZER INC. | $117 |
| Sumitomo Pharma America, Inc. | $41 |
| MAYNE PHARMA COMMERCIAL LLC | $37 |
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: 2015-01-26
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 |
|---|---|---|---|---|
| I20150126000286 | I | Obstetrics/Gynecology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | KY | |
| General Surgery | KY | |
| - | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | KY | |
| N E U R O L O G Y | OH | |
| Clinical Social Worker | KY | |
| - | KY | |
| Surgical Oncology | OH |
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