CMS-1500 Box 24J / 33a • NPI
1194144246
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
1204 N BRADFORD ST, GILMER, TX, 75644-3110
✓ 9-Digit EDI 837 ZIP+4 (75644-3110)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1194144246 (KISH L. CARLTON, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1194144246)
Medicare Beneficiaries
341
Total Billed Services
917
Distinct CPT/HCPCS Codes
10
Medicare Allowed Total
$88,761.75
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 111 |
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 42 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 532 |
99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 102 |
99239 | Hospital discharge day management, more than 30 minutes | 114 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Atorvastatin Calcium Atorvastatin Calcium | 16 | <11 |
| Clopidogrel Clopidogrel Bisulfate | 17 | <11 |
| Furosemide Furosemide | 23 | 14 |
| Gabapentin Gabapentin | 11 | <11 |
| Hydrochlorothiazide Hydrochlorothiazide | 12 | <11 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 31 | 16 |
| Ipratropium-Albuterol Ipratropium/Albuterol Sulfate | 15 | <11 |
| Levofloxacin Levofloxacin | 44 | 40 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1194144246 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KISH L. CARLTON, MD |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207Q00000X (Family Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 1204 N BRADFORD ST, GILMER, TX, 75644-3110 |
| Practice Telephone / Fax | Tel: (903) 636-7583 | Fax: (903) 470-7275 |
| Administrative Mailing Address | 1204 N BRADFORD ST, GILMER, TX, 75644-3110 |
| Enumeration & Last Sync | Enumerated: 2014-04-15 | CMS Record Updated: 2026-02-09 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)
What Does Taxonomy Code 207Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KISH L. CARLTON, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
- Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
- Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
- Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
- Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
- Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
- Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
- Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
- Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: TX | License: R4948 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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