Dr Richard Alan Carlton, MD - Medicare Cardiac Surgery in Hickory, NC

Dr Richard Alan Carlton, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Hickory, North Carolina. He went to University Of Massachusetts Medical School and graduated in 1981 and has 43 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice Dlp Frye Medical Group Llc and his current practice location is 415 N Center St, Suite 204, Hickory, North Carolina. You can reach out to his office (for appointments etc.) via phone at (828) 323-1100.

Dr Richard Alan Carlton is licensed to practice in North Carolina (license number 33626) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104887850.

Contact Information

Dr Richard Alan Carlton, MD
415 N Center St, Suite 204,
Hickory, NC 28601-5057
(828) 323-1100
(828) 324-9189

Map and Direction




Physician's Profile

Full NameDr Richard Alan Carlton
GenderMale
SpecialityCardiac Surgery
Experience43 Years
Location415 N Center St, Hickory, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Richard Alan Carlton attended and graduated from University Of Massachusetts Medical School in 1981
  NPI Data:
  • NPI Number: 1104887850
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 02/15/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6305818568
  • Enrollment ID: I20100331000780

Medical Identifiers

Medical identifiers for Dr Richard Alan Carlton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104887850NPI-NPPES
8921144MedicaidNC
3760384OtherNCCAROLINA CARE PLAN (PHP)

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 33626 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Frye Regional Medical CenterHickory, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dlp Frye Medical Group Llc812339760191

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Richard Alan Carlton allows following entities to bill medicare on his behalf.
Entity NameDlp Frye Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154005965
PECOS PAC ID: 8123397601
Enrollment ID: O20170627003051

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Richard Alan Carlton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Richard Alan Carlton, MD
415 N Center St, Suite 204,
Hickory, NC 28601-5057

Ph: (828) 323-1100
Dr Richard Alan Carlton, MD
415 N Center St, Suite 204,
Hickory, NC 28601-5057

Ph: (828) 323-1100

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Hickory, NC

Dr. Cemil Mehmet Purut, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 420 N Center St, Hickory, NC 28601
Phone: 828-323-1100    Fax: 828-324-9189
Dr. Mark Henry Hennington, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 420 N Center St, Hickory, NC 28601
Phone: 828-323-1100    Fax: 828-324-9189
Brett Timothy Starr, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 415 N Center St Ste 204, Hickory, NC 28601
Phone: 828-323-1100    Fax: 828-324-9189

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.