DR. CARY LEE CARPENTER (M.D.) – Family Medicine Physician, NPI 1053311548

DR. CARY LEE CARPENTER (M.D.) is a healthcare provider. based in Choctaw, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 18237 (OK). The NPI Number for DR. CARY LEE CARPENTER (M.D.) is 1053311548

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARY LEE CARPENTER (M.D.)
NPI
1053311548
Phone
(405) 390-9600
Address
PO BOX 10
Enumeration Date
26 July 2005
Deactivation Date
21 March 2006
Reactivation Date
4 April 2006
Last Update Date
21 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052313000
Graduation Year
1991 (35 years ago)
PAC ID
3375561145
Group Practice PAC ID
7012914898
Professional Enrollment ID
I20100519000859
Address ID
OK731021068OK608XXSTXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,780 FAMILY PRACTICE in OK

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Provider Addresses for DR. CARY LEE CARPENTER (M.D.)

  • Choctaw, Oklahoma County, Oklahoma, United States

    CHOCTAW, OK 730200010

    Phone: (405) 390-9600

    Fax: (405) 390-9400

    Type: Mailing

  • 15809, Northeast 23rd Street, Choctaw, Oklahoma County, Oklahoma, 73020, United States

    CHOCTAW, OK 730208428

    Phone: (405) 390-9600

    Fax: (405) 390-9400

    Type: Location

  • 15679 NE 23RD ST

    CHOCTAW, OK 730208592

    Phone: (405) 390-9600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $589.

Total Amount is formed as General ($589) + Research ($0) + Ownership ($0) = $589.

Last reported payment date: 2024-12-01 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($139).

Total Amount

$589

General + Research + Ownership

Payments

30

Total payment records

General Amount

$589

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-01

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: 2010-05-19

PECOS data refreshed: 2026-06-15

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
I20100519000859IFamily PracticeOKTBD

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 minutes294153$0
99213Established patient office or other outpatient visit, 20-29 minutes191129$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit141141$0
99203New patient office or other outpatient visit, 30-44 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 73020)

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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: 7012914898View full group profile
NameSpecialtyState
Nurse PractitionerOK
Internal Medicine, Pediatric MedicineOK
U R O L O G YOK
Clinical Social WorkerOK
Physician AssistantOK
Family PracticeOK
Orthopedic SurgeryOK
Family PracticeOK
General SurgeryOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Can I verify DR. CARY LEE CARPENTER (M.D.) with an NPI only?
You can start verification with NPI 1053311548 for DR. CARY LEE CARPENTER (M.D.), then check state licensing separately.
Can I rely on DR. CARY LEE CARPENTER (M.D.) being an active provider?
As of the registry snapshot, DR. CARY LEE CARPENTER (M.D.) is marked active.
What is DR. CARY LEE CARPENTER (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. CARY LEE CARPENTER (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. CARY LEE CARPENTER (M.D.) serve?
DR. CARY LEE CARPENTER (M.D.)'s listing highlights Choctaw, Oklahoma; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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