Carlton Ralph Daniel III, MD
NPI 1639104904ActiveIndividual· Dermatology· Jackson, MS
Dermatology (MD) in Jackson, Mississippi, licensed in MS, with an NPI issued in July 2006. Their prescriptions cost Medicare Part D more than their services did: $21,844 for 59 claims, against $972.32 paid for services in 2024.
Overview
| NPI | 1639104904 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 12, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 7976 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dermatology (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 15 across 3 procedure codes |
| Paid by Medicare | $972.32 |
Part D prescriptions in 2024
| Prescriptions (claims) | 59 · 135 30-day fills |
|---|---|
| Total drug cost | $21,844 |
| Generic share | 83% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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