Craig T. Carter
Emergency Medicine Physician · Lexington, KY
Craig T. Carter is an emergency medicine physician with a practice address in Lexington, Kentucky, and NPI 1275573818, issued on Jun 8, 2006. Check the license (Kentucky 02775, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Craig T. Carter
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License number
- 02775 KY
Self-reported in NPPES; status is on the state search - Practice location
- 800 Rose Street, Lexington, KY 40536
- Phone
- (859) 323-5901
- Enumerated
- Jun 8, 2006
- Record last updated
- Feb 4, 2015 (not updated in 11 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20040812000024); accepts Medicare assignment
- Medical or professional school
- Midwestern University, Chicago College Of Osteopathic Med, 1998
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 903 in Kentucky → Look up another NPI →
Also registered at 800 Rose Street
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Paul Bachner, MDAnatomic Pathology & Clinical Pathology Physician1033174230
- Rashmi BharadwajStudent in an Organized Health Care Education/Training Program1134923311
- Allison Brown, MDStudent in an Organized Health Care Education/Training Program1386223790
- Leigh Ann Callahan, MDCritical Care Medicine (Internal Medicine) Physician1396855037
- Phillip Chang, MDSurgery Physician1558326934
Verify Craig T. Carter in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 02775Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
91% fewer Medicare Part D claims than the average emergency medicine physician in 2024
20 Medicare Part D claims, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D.
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): 100 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Kentucky Medical Services Foundation, IncLexington, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Craig T. Carter among 903 emergency medicine physician records in Kentucky
Craig T. Carter is one of 903 emergency medicine physician records with a practice address in Kentucky. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.
- NPI issued2006 · 7% of these records are older, 55% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated1998 · median 2011 among the 557 with a school on file
- Record last updated2015 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
211 emergency medicine physician records list a practice address in Lexington
They are 211 of the 14,031 NPPES records with a practice address in Lexington, and 903 emergency medicine physician records in Kentucky.
All 903 in Kentucky → Every provider in Lexington → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- Brian Adkins, M.D.Lexington, KY 405361598710717
- Rebecca Bowers, MDLexington, KY 405361043242746
- Amy Dahlgren, MDLexington, KY 405361942240486
- Christopher Doty, MDLexington, KY 405361639161433
- Charles Eckerline, MDLexington, KY 405361447289616
- Jessica Horne, M.D.Lexington, KY 405361598732174
- Roger Humphries, MDLexington, KY 405361649202268
- Nicole McCoin, MDLexington, KY 405361811924376
Common questions
What is Craig T. Carter's NPI number?
Craig T. Carter's National Provider Identifier (NPI) is 1275573818, issued on Jun 8, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Craig T. Carter located?
The NPPES record lists a practice address at 800 Rose Street, Lexington, KY, 40536. Phone: (859) 323-5901. Providers update this record themselves, so call before visiting.
How can I verify Craig T. Carter's license?
NPPES lists Kentucky license number 02775, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Craig T. Carter prescribe under Medicare Part D?
In 2024, Craig T. Carter had 20 Medicare Part D claims; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.
What is Craig T. Carter's MIPS final score?
The 2023 MIPS final score is 100 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.