Carmen Leigh Holmes , PA
Physician Assistant • Paris, TX
3435 Ne Loop 286
Paris, TX 754605002
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on January 30, 2008; this date does not establish years in practice.
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Published CMS data list 36,323 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J0897 — Injection, denosumab, 1 mg: 28,860 service units.
- J3301 — Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 3,111 service units.
- J3304 — Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg: 1,664 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
See all 22 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 410 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Alendronate Sodium — 117 prescription fills, including refills.
- Prolia (Denosumab) — 109 prescription fills, including refills.
- Meloxicam — 54 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 9 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Paris, TX (2024, 12 clinicians with data). Median for this group: 501. Middle half: 85 to 2,349.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 29,587 in 2020 to 36,323 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
3435 Ne Loop 286
Paris, TX 754605002
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Paris Orthopedic Clinic Pa. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2007
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
643 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $928,596 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $725,796 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
1,061 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$280,995 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $148.54 across 7 records.
By nature of payment
- Food and Beverage: $148.54 across 7 records.
Reporting-company totals (3 largest of 4)
- Amgen Inc.: $61.76 across 4 records.
- Zimmer Biomet Holdings, Inc.: $43.16 across 1 record.
- Ethicon Inc.: $23.26 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
19 years (graduated 2007)
CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2008
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Carmen Holmes has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Carmen Holmes as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Paris and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Paris, TX (2024, 12 clinicians with data). Median for this group: 501. Middle half: 85 to 2,349.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Paris, TX (2024, 12 clinicians with data). Median for this group: $17,850. Middle half: $7,388 to $118,283.
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Paris, TX (2024, 12 clinicians with data). Median for this group: $14,090. Middle half: $6,425 to $88,979.
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Paris, TX (2024, 12 clinicians with data). Median for this group: 344. Middle half: 99 to 1,084.
Close to the middle for clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Paris, TX (2024, 12 clinicians with data). Median for this group: $5,497. Middle half: $749 to $164,860.
A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.
15 active clinicians are listed under Physician Assistant with a practice address in Paris, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Paris
20% of these 15 clinicians have the CMS telehealth indicator.
66.7% of these 15 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 23% from 29,587 in 2020 to 36,323 in 2024.
- 2020: 29,587
- 2021: 32,711
- 2022: 37,056
- 2023: 53,640
- 2024: 36,323
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Medicare-allowed amount
Medicare-allowed amount increased 53% from $605,125 in 2020 to $928,596 in 2024.
- 2020: $605,125
- 2021: $724,440
- 2022: $852,109
- 2023: $1,058,437
- 2024: $928,596
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Paid by Medicare
Paid by Medicare increased 57% from $463,555 in 2020 to $725,796 in 2024.
- 2020: $463,555
- 2021: $562,362
- 2022: $652,090
- 2023: $820,624
- 2024: $725,796
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 445 in 2020 and 410 in 2024.
- 2020: 445
- 2021: 442
- 2022: 451
- 2023: 501
- 2024: 410
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30-day fills
30-day fills increased 35% from 787 in 2020 to 1,061 in 2024.
- 2020: 787
- 2021: 855
- 2022: 1,047
- 2023: 1,223
- 2024: 1,061
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Part D drug cost
Part D drug cost varied from year to year: $299,394 in 2020 and $280,995 in 2024.
- 2020: $299,394
- 2021: $196,700
- 2022: $187,519
- 2023: $205,250
- 2024: $280,995
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $209.91 in 2021 to $148.54 in 2025.
- 2021: $209.91
- 2022: $359.44
- 2023: $262.65
- 2024: $57.59
- 2025: $148.54
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $148.54.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
Cash or cash equivalent
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Persona | General | $43.16 |
| Ethicon Inc. |
Food and Beverage
In-kind items and services
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STRATAFIX | General | $23.26 |
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
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JOURNAVX | General | $20.36 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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EVENITY | General | $17.50 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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EVENITY | General | $15.50 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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EVENITY | General | $14.70 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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EVENITY | General | $14.06 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J0897
Injection, denosumab, 1 mg
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28,860 | 265 | $69.00 | $25.50 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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3,111 | 231 | $3.00 | $0.98 |
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J3304
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
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1,664 | 19 | $51.00 | $17.36 |
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96372
Injection of drug or substance under skin or into muscle
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563 | 284 | $70.00 | $11.50 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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502 | 277 | $160.00 | $103.60 |
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20610
Aspiration and/or injection of fluid from large joint
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408 | 208 | $277.18 | $59.09 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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391 | 243 | $70.00 | $45.73 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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340 | 288 | $110.00 | $73.37 |
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73564
X-ray of knee, 4 or more views
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99 | 77 | $96.97 | $37.63 |
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73030
X-ray of shoulder, minimum of 2 views
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79 | 60 | $75.95 | $26.92 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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59 | 59 | $250.00 | $133.05 |
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73502
X-ray of hip, 2-3 views
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46 | 43 | $116.00 | $37.86 |
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72100
X-ray of lower and sacral spine, 2-3 views
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42 | 42 | $100.00 | $31.90 |
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20611
Aspiration and/or injection of fluid large joint using ultrasound guidance
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26 | 19 | $358.08 | $94.18 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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23 | 23 | $170.00 | $87.43 |
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20552
Injection of trigger points, 1-2 muscles
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19 | 17 | $160.00 | $37.93 |
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73130
X-ray of hand, minimum of 3 views
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18 | 14 | $75.56 | $27.07 |
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77002
Fluoroscopic guidance for needle placement
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18 | 12 | $211.11 | $88.24 |
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73630
X-ray of foot, minimum of 3 views
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16 | 11 | $80.00 | $27.36 |
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J7327
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
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15 | 11 | $2137.00 | $667.35 |
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20605
Aspiration and/or injection of fluid from medium joint
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12 | 11 | $204.17 | $42.12 |
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73610
X-ray of ankle, minimum of 3 views
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12 | 11 | $87.00 | $26.77 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Alendronate Sodium | Alendronate Sodium | 117 | 6,278 | $537.84 | 27 |
| Prolia | Denosumab | 109 | 18,552 | $190,673.44 | 61 |
| Meloxicam | Meloxicam | 54 | 2,104 | $296.69 | 22 |
| Prednisone | Prednisone | 38 | 275 | $44.58 | 33 |
| Gabapentin | Gabapentin | 29 | 1,414 | $397.23 | 13 |
| Forteo | Teriparatide | 21 | 588 | $88,730.89 | — |
| Ibuprofen | Ibuprofen | 17 | 510 | $86.81 | — |
| Diclofenac Sodium | Diclofenac Sodium | 13 | 511 | $202.56 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 12 | 360 | $25.14 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-03-26NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20080606000248
TX
1153491808
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Paris Orthopedic Clinic Pa
3435 Ne Loop, Paris, TX 754605002
Phone: 9037370017
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Osteopathic Medicine (D.O.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 3435 NE LOOP 286, PARIS, TX 754605088 (Tel: 9037370000)
NPI status registered as active in NPPES database
Registered at 3435 NE LOOP 286, PARIS, TX 754605002 (Tel: 9037370000)
Registered at 3435 NE LOOP 286, PARIS, TX 754605002 (Tel: 9037370000)
Recorded as CARMEN HOLMES, P.A.
Physician Assistant (license number reported to NPPES: TX PA05647)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Paris
- Lauren Chappell, PA-C
- Joseph Whittaker, MPAS, PA-C
- James Halloran, PA-C
- Lacey Gardner, PA-C
- Kenneth Taylor, PA-C
- Katherine Chadwick, PA-C
More public profiles in Texas
Directory navigation, in NPI number order.
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- Martha Schatz, MD Ophthalmology · San Antonio
- Thomas Lorren, PT Physical Therapist - Orthopedic · Longview
- Michael Dickey, MD Family Medicine · Marble Falls
- Robert Gerald, MD Ophthalmology · Armarillo
- George Brindley, MD Orthopaedic Surgery · Lubbock
- Scott Goble, MD Radiology - Radiation Oncology · Bryan
- Farhana Kazi, MD Internal Medicine - Cardiovascular Disease · Coppell
- Lanoard Bayouth, MD Internal Medicine - Cardiovascular Disease · Abilene
- Stephen Pierce, MD Internal Medicine · Austin
- Tej Gupta, MD Internal Medicine - Gastroenterology · El Paso
- Jerett Zipin, DO Neuromusculoskeletal Medicine, Sports Medicine · Pflugerville
Mailing Address
3435 Ne Loop 286
Paris, TX 754605088
Phone: 9037370000