Charles Jackie Carpenter Jr., MD
NPI 1073508404ActiveIndividual· Surgery· Dothan, AL
Surgery (MD) in Dothan, Alabama, trained at University of Alabama School of Medicine (class of 1992). 209 Medicare patients in 2024, $54,588 paid; nearly all of their 81 Part D prescriptions were generic (95%). Kerecis Limited reported $24.83 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1073508404 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Sep 12, 2005 |
| Last updated in NPPES | Mar 3, 2021 |
| Certified by provider | Mar 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 17706 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 209 |
|---|---|
| Services billed | 610 across 79 procedure codes |
| Paid by Medicare | $54,588 |
Part D prescriptions in 2024
| Prescriptions (claims) | 81 · 81 30-day fills |
|---|---|
| Patients | 64 |
| Total drug cost | $1,130 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | University of Alabama School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | General Surgery |
Hospital affiliation
- Flowers HospitalDothan, AL
Industry payments (Open Payments)
- 2024$24.83 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Kerecis Limited | $24.83 | 1 |
What the 2024 payments were for
- Food and Beverage$24.83 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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