MATHEIS W CARRICO (MD) – Internal Medicine Physician, NPI 1962499624

MATHEIS W CARRICO (MD) is a healthcare provider. based in Owensboro, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 39371 (KY). The NPI Number for MATHEIS W CARRICO (MD) is 1962499624

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MATHEIS W CARRICO (MD)
NPI
1962499624
Phone
(270) 685-1066
Address
3346 PROFESSIONAL PARK DR
Enumeration Date
28 September 2005
Last Update Date
23 March 2012

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
2706831066
Graduation Year
2002 (24 years ago)
PAC ID
7416990395
Group Practice PAC ID
1254316821
Professional Enrollment ID
I20050602000558
Address ID
KY423034551OW3346XPARK300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

Provider Addresses for MATHEIS W CARRICO (MD)

  • 3346 PROFESSIONAL PARK DR

    OWENSBORO, KY 423034551

    Phone: (270) 685-1066

    Fax: (270) 685-0881

    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 17 Open Payments records for all available years, with a total value of $274.

Total Amount is formed as General ($274) + Research ($0) + Ownership ($0) = $274.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($115).

Total Amount

$274

General + Research + Ownership

Payments

17

Total payment records

General Amount

$274

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-06-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050602000558IInternal MedicineKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,058489$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit313313$0
G0444Annual depression screening, 5 to 15 minutes293293$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month27428$0
96372Injection of drug or substance under skin or into muscle25896$0
View full utilization report →

Insurance plans in this area (ZIP 42303)

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Provider's Procedures

MATHEIS W CARRICO (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEKY83036Hemoglobin A1C level287154
INTERNAL MEDICINEKY85610Blood test, clotting time20230

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254316821View full group profile
NameSpecialtyState
Nurse PractitionerKY
Internal MedicineKY
Internal MedicineNC
Internal MedicineKY
Family PracticeKY
Physician AssistantKY
Internal MedicineKY
-KY

Reviews

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Frequently asked questions

How do payers reference MATHEIS W CARRICO (MD)?
For MATHEIS W CARRICO (MD), use NPI 1962499624 as the unique 10-digit identifier.
Active or inactive — what applies to MATHEIS W CARRICO (MD)?
You should see MATHEIS W CARRICO (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for MATHEIS W CARRICO (MD)?
At a glance, MATHEIS W CARRICO (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MATHEIS W CARRICO (MD)?
Directory geography for MATHEIS W CARRICO (MD) centers on Owensboro, Kentucky.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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