Cletus Carvalho, MD
NPI 1457434870 · Psychiatry Physician · Lexington, KY
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cletus Carvalho, MD is a Psychiatry Physician provider in Lexington, KY (NPI 1457434870).
Provider details
- NPI number
- 1457434870
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35167 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
411 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 201 | $74 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 103 | $111 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 44 | $106 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 43 | $162 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 20 | $163 |
Typical Medicare-allowed amounts for these services range $74–$163 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxyzine Hcl | 85 | 48 |
| Mirtazapine | 48 | 34 |
| Sertraline Hcl | 40 | 29 |
| Aripiprazole | 34 | 20 |
| Quetiapine Fumarate | 30 | 13 |
| Lisinopril | 20 | 16 |
| Olanzapine | 18 | — |
Practice location
Mailing address
Additional practice locations (2)
- 811 Corporate DrSuite 102Lexington, KY 40503-5407Phone: (859) 552-1432Fax: (859) 554-7870
- 151 N Eagle Creek Dr Ste 110Lexington, KY 40509-1889Phone: (859) 263-3888Fax: (888) 235-9895
Registry dates
- Enumerated
- 2006-10-21
- Last updated
- 2019-06-14
Frequently asked questions
- What is Cletus Carvalho's NPI number?
- Cletus Carvalho's National Provider Identifier (NPI) is 1457434870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cletus Carvalho's specialty?
- Cletus Carvalho is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Cletus Carvalho located?
- Cletus Carvalho's practice location on file with NPPES is 3070 Lakecrest Cir # 400-197, Lexington, KY 40513-1937.
- What is Cletus Carvalho's phone number?
- The practice phone number listed in the NPPES registry for Cletus Carvalho is (859) 263-3888.
- Does Cletus Carvalho accept Medicare?
- Cletus Carvalho is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Cletus Carvalho's NPI active?
- Yes — Cletus Carvalho's NPI (1457434870) is active in the NPPES registry as of the last update on 2019-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.