David Carter, DO
NPI 1093204083 · Sleep Medicine (Family Medicine) Physician · Pikeville, KY
Enrolled with Medicare as Practitioner - Sleep Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
David Carter, DO is a Sleep Medicine (Family Medicine) Physician provider in Pikeville, KY (NPI 1093204083).
Provider details
- NPI number
- 1093204083
- Entity type
- Individual
- Primary specialty
- Sleep Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 04796 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
331 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 109 | $61 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 69 | $74 |
| Sleep Study Including Heart Rate, Breathing, Airflow, and Effort95806 | 48 | $39 |
| Sleep Study in Sleep Lab (6 Years Or Older)95810 | 31 | $110 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 29 | $114 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Pitolisant Hclbrand: Wakix | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-05-04
- Last updated
- 2022-07-21
- Certified
- 2022-07-21
Frequently asked questions
- What is David Carter's NPI number?
- David Carter's National Provider Identifier (NPI) is 1093204083, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is David Carter's specialty?
- David Carter is listed in the NPPES registry with a primary specialty of Sleep Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is David Carter located?
- David Carter's practice location on file with NPPES is 911 Bypass Rd Bldg a, Pikeville, KY 41501-1689.
- What is David Carter's phone number?
- The practice phone number listed in the NPPES registry for David Carter is (606) 430-2209.
- Does David Carter accept Medicare?
- David Carter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is David Carter's NPI active?
- Yes — David Carter's NPI (1093204083) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.