NPPES file of Aug 9, 2026

Carmen Leigh Holmes, P.A.

Physician Assistant · Paris, TX

Carmen Leigh Holmes, P.A. is a physician assistant with a practice address in Paris, Texas, and NPI 1013194299, issued on Jan 30, 2008. Check the license (Texas PA05647, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1013194299
Name
Carmen Leigh Holmes
Credential
P.A.
Primary taxonomy
Physician Assistant 363A00000X
License number
PA05647 TX
Self-reported in NPPES; status is on the state search
Practice location
3435 NE Loop 286, Paris, TX 75460
Phone
(903) 737-0000
Enumerated
Jan 30, 2008
Record last updated
Mar 26, 2026
Fax
(903) 785-1277
Medicaid IDs
315267002 TX
200451030A OK
Medicare enrollment
Enrolled (PECOS I20080606000248); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3435 NE Loop 286

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Richy CharlsOrthopaedic Surgery Physician1649730391
  2. David De La Garza, MDOrthopaedic Surgery Physician1922007285
  3. Michael Elliott, D.O.Orthopaedic Surgery Physician1538471198
  4. Mark Gibbs, M.D.Orthopaedic Surgery Physician1568685873
  5. Gregory Green, MDOrthopaedic Surgery Physician1619976982
  6. Kelly Merritt, APRNFamily Nurse Practitioner1093349987

Verify Carmen Leigh Holmes in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this profession
    Search for license PA05647
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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42% fewer Medicare Part D claims than the average physician assistant in 2024

480 Medicare Part D claims for 184 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 29% of claims. 18 claims were for opioids.

  1. Carmen Holmes480
  2. Specialty average830

Most prescribed

  1. Alendronate Sodium117 claims
  2. Prolia109 claims
  3. Meloxicam54 claims
  4. Prednisone38 claims
  5. Gabapentin29 claims
  6. Forteo21 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 65.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score71.9
  2. Costout of 100 · 30%23.0
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $57.59

3 payments; by number, the most common kind was food and beverage; the largest payer was Amgen Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Carmen Holmes$57.59
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Paris Orthopedic Clinic PAParis, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Carmen Leigh Holmes among 10,999 physician assistant records in Texas

Carmen Leigh Holmes, P.A. is one of 10,999 physician assistant records with a practice address in Texas. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 20% of them.

  • NPI issued2008 · 20% of these records are older, 76% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 55% of these records are
  • Graduated2007 · median 2017 among the 6,096 with a school on file
  • Record last updated2026 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

15 physician assistant records list a practice address in Paris

They are 15 of the 635 NPPES records with a practice address in Paris, and 10,999 physician assistant records in Texas.

The 8 physician assistant records with the nearest ZIP codes

  1. Coy Allen, PAParis, TX 754601346992401
  2. Jill Ballantine, PAParis, TX 754601467691691
  3. Katherine Chadwick, PA-CParis, TX 754601386004570
  4. Lauren Chappell, PA-CParis, TX 754601437691326
  5. Lacey Gardner, PA-CParis, TX 754601790226504
  6. James Halloran, PA-CParis, TX 754601164587424
  7. Elizabeth Hasten, PAParis, TX 754601992038913
  8. Timothy La Voy, P A CParis, TX 754601285625129

Common questions

What is Carmen Leigh Holmes, P.A.'s NPI number?

Carmen Leigh Holmes, P.A.'s National Provider Identifier (NPI) is 1013194299, issued on Jan 30, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Carmen Leigh Holmes, P.A. located?

The NPPES record lists a practice address at 3435 NE Loop 286, Paris, TX, 75460. Phone: (903) 737-0000. Providers update this record themselves, so call before visiting.

How can I verify Carmen Leigh Holmes, P.A.'s license?

NPPES lists Texas license number PA05647, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.

How much does Carmen Leigh Holmes, P.A. prescribe under Medicare Part D?

In 2024, Carmen Leigh Holmes, P.A. had 480 Medicare Part D claims for 184 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

What is Carmen Leigh Holmes, P.A.'s MIPS final score?

The 2023 MIPS final score is 65.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.