JIM CARMICAL (MD) – Family Medicine Physician, NPI 1194145607

JIM CARMICAL (MD) is a healthcare provider. based in Fort worth, Texas. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. Q8846 (TX). The NPI Number for JIM CARMICAL (MD) is 1194145607

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
JIM CARMICAL (MD)
NPI
1194145607
Phone
(817) 702-1215
Address
4TH FLOOR 1500 S. MAIN ST.
Enumeration Date
23 April 2014
Last Update Date
11 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
8702244411
Graduation Year
2014 (12 years ago)
PAC ID
6103105119
Group Practice PAC ID
3971909805
Professional Enrollment ID
I20171107000625
Address ID
AR716559717MO940XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:12State licenses:2Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

Provider Addresses for JIM CARMICAL (MD)

  • 4TH FLOOR 1500 S. MAIN ST.

    FAMILY HEALTH CENTER JPS

    FORT WORTH, TX 76104

    Phone: (817) 702-1215

    Fax: (817) 702-1697

    Type: Mailing

  • 4TH FLOOR 1500 S. MAIN

    FAMILY HEALTH CENTER JPS

    FORT WORTH, TX 76104

    Phone: (817) 702-1215

    Fax: (817) 702-1697

    Type: Location

  • 940 OLD WARREN RD

    MONTICELLO, AR 716559717

    Phone: (870) 224-4411

    Fax: (817) 702-1697

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $1,565.

Total Amount is formed as General ($1,565) + Research ($0) + Ownership ($0) = $1,565.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ABBVIE INC. ($507).

Total Amount

$1,565

General + Research + Ownership

Payments

92

Total payment records

General Amount

$1,565

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-11-07

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
I20171107000625IFamily PracticeARTBD

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 minutes1,283331$0
J0696Injection, ceftriaxone sodium, per 250 mg1,264174$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,141189$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month774143$0
99213Established patient office or other outpatient visit, 20-29 minutes762312$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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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: 3971909805View full group profile
NameSpecialtyState
Nurse PractitionerAR
Family PracticeTX
Family PracticeAR
Nurse PractitionerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What number should I use to identify JIM CARMICAL (MD) for billing?
Administrative and clinical systems typically use NPI 1194145607 for JIM CARMICAL (MD).
Does the public listing show JIM CARMICAL (MD) as active?
JIM CARMICAL (MD)'s NPI record reflects an active status in NPPES.
What services align with JIM CARMICAL (MD)'s listing?
JIM CARMICAL (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JIM CARMICAL (MD) in Fort Worth, Texas?
For routing, start with Fort Worth, Texas for JIM CARMICAL (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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