DR. JAMES MICHAEL CARLTON M.D.
NPI 1396809315
Plastic Surgery - Surgery of the Hand in Baltimore, MD
NPI Status: Active since December 21, 2006
Contact Information
301 SAINT PAUL ST
SUITE 405
BALTIMORE, MD
ZIP 21202
Phone: (410) 332-7464
Fax: (410) 332-7466
- Individual
- Male
- Plastic Surgery
- Surgery of the Hand
- PECOS Enrolled
About JAMES CARLTON
This page provides the complete NPI Profile along with additional information for James Carlton, a provider established in Baltimore, Maryland with a medical specialization in Plastic Surgery, focusing in surgery of the hand . The healthcare provider is registered in the NPI registry with number 1396809315 assigned on December 2006. The practitioner's primary taxonomy code is 2082S0105X with license number D30410 (MD). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1396809315
- Provider Name
- DR. JAMES MICHAEL CARLTON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 301 SAINT PAUL ST SUITE 405 BALTIMORE, MD 21202
- Location Phone
- (410) 332-7464
- Location Fax
- (410) 332-7466
- Mailing Address
- 301 SAINT PAUL ST SUITE 405 BALTIMORE, MD 21202
- Mailing Phone
- (410) 332-7464
- Mailing Fax
- (410) 332-7466
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-21-2006
- Last Update Date
- 10-31-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery Surgery of the Hand
- Taxonomy Code
- 2082S0105X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D30410
- License State
- MD
- Taxonomy Description
- A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2086S0122X | Allopathic & Osteopathic Physicians | Surgery | D30410 (MD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D70335 | MEDICARE UPIN (02) | ||
| 2045 | MEDICARE ID-TYPE UNSPECIFIED (04) | MD | |
| 397911300 | MEDICAID (05) | MD |
Medicare Participation & PECOS Enrollment Status
James Carlton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
New patient office or other outpatient visit, 30-44 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 33 times for 20 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 11 times for 11 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 21202 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.08
- Minimum New Patient Price $60.73
- Maximum New Patient Price $183.44
- Average New Patient Copayment $23.52
- Minimum New Patient Copayment $15.18
- Maximum New Patient Copayment $45.86
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.47
- Minimum Established Patient Price $19.6
- Maximum Established Patient Price $149.17
- Average Established Patient Copayment $18.86
- Minimum Established Patient Copayment $4.9
- Maximum Established Patient Copayment $37.29
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. JAMES MICHAEL CARLTON M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 8 | 0 | 9 | 3 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 16 | 0 | 18 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 6 + 0 + 1 + 8 + 3 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1396809315 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790755635 | DR. SHIV KAPOOR III M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 301 SAINT PAUL ST BALTIMORE, MD 21202 (410) 332-9594 |
| 1528036589 | PAUL LUCAS MD Individual | Surgery (Vascular Surgery) | 301 SAINT PAUL ST 5TH FLOOR BALTIMORE, MD 21202 (410) 332-9404 |
| 1447290911 | ANISSA BOYLE PA Individual | Physician Assistant | 301 SAINT PAUL ST MERCY MEDICAL CENTER BALTIMORE, MD 21202 (410) 332-9036 |
| 1053348342 | DRS' POSNER, COX & ASSOCIATES, P.A. Organization | Specialist | 301 SAINT PAUL ST SUITE 718 BALTIMORE, MD 21202 (410) 332-9356 |
| 1457389579 | DEBORAH F WEBER MD Individual | Pediatrics | 301 SAINT PAUL ST BALTIMORE, MD 21202 (410) 706-2525 |
| 1932139078 | DR. SCOTT M HUBER M.D. Individual | Specialist | 301 SAINT PAUL ST SUITE 718 BALTIMORE, MD 21202 (410) 332-9356 |
| 1659396885 | MRS. JESSICA LEE SCOTT MGC Individual | Genetic Counselor, MS | 301 SAINT PAUL ST BALTIMORE, MD 21202 (410) 385-5142 |
| 1659394310 | DR. REBECCA SCHULKOWSKI PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 301 SAINT PAUL ST BALTIMORE, MD 21202 (410) 332-9636 |
| 1801809116 | KATHLEEN A KOSTKOWSKI CRNP Individual | Nurse Practitioner (Neonatal) | 301 SAINT PAUL ST NICU/PEDS BALTIMORE, MD 21202 (410) 332-9596 |
| 1972613776 | MRS. JEANY LUNDBERG MD Individual | Anesthesiology | 301 SAINT PAUL ST BALTIMORE, MD 21202 (410) 332-9375 |
| 1568572030 | CHARLES C EDWARDS, II MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 301 SAINT PAUL ST SPINE CENTER, LOWER LEVEL BALTIMORE, MD 21202 (410) 539-3434 |
| 1033229588 | CHARLES C EDWARDS MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 301 SAINT PAUL ST SPINE CENTER, LOWER LEVEL BALTIMORE, MD 21202 (410) 539-3434 |
| 1073619631 | DR. RICHARD KURT SUTTON M.D. Individual | Anesthesiology | 301 SAINT PAUL ST BALTIMORE, MD 21202 (410) 332-9375 |
| 1376622274 | MR. EUGENE MARCELLE CRNA Individual | Nurse Anesthetist, Certified Registered | 301 SAINT PAUL ST BALTIMORE, MD 21202 (410) 332-9375 |
| 1750455333 | WILLIAM FOX PA Individual | Physician Assistant | 301 SAINT PAUL ST ER BALTIMORE, MD 21202 (410) 332-9809 |
| 1679637730 | DR. REYNALDO MANUEL MIA M.D. Individual | Anesthesiology | 301 SAINT PAUL ST BALTIMORE, MD 21202 (410) 332-9375 |
| 1750445615 | STUART MARTIN WEINBERG M.D. Individual | Anesthesiology | 301 SAINT PAUL ST BALTIMORE, MD 21202 (410) 332-9375 |
| 1457417990 | DR. SOW-SEI JAMES LIN M.D. Individual | Anesthesiology | 301 SAINT PAUL ST BALTIMORE, MD 21202 (410) 332-9375 |
| 1457417628 | DR. KATHERINE JANE AMUNDSON M.D. Individual | Anesthesiology | 301 SAINT PAUL ST BALTIMORE, MD 21202 (410) 332-9375 |
| 1861540619 | THOMAS JONATHAN OGLESBY M.D. Individual | Psychiatry & Neurology (Psychiatry) | 301 SAINT PAUL ST BALTIMORE, MD 21202 (410) 332-9230 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396809315, enumerated in the NPI registry as an "individual" on December 21, 2006
The provider is located at 301 Saint Paul St Suite 405 Baltimore, Md 21202 and the phone number is (410) 332-7464
The provider's speciality is Plastic Surgery with taxonomy code 2082S0105X with a focus in Surgery of the Hand
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $94.08 with an average copayment of $23.52 for new patient appointments. Established patients should expect a typical charge of $75.47 and an average copayment of 18.86. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes and New patient office or other outpatient visit, 30-44 minutes.
This NPI record was last updated on December 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.