Dr. Chad Joseph Carlton , MD
Surgery โข Plano, TX
4800 Hedgcoxe Rd Ste 200
Plano, TX 750242402
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 15, 2010; this date does not establish years in practice.
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Published CMS data list 84 Original Medicare Part B services in 2018.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018. Published rows only; this is not a quality measure.
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Published Part B service records, 2018:
- 99204 โ New patient outpatient office visit: 44 service units.
- 99213 โ Established patient outpatient office visit: 26 service units.
- 99214 โ Established patient outpatient office visit: 14 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2017 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2018). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 49 Medicare Part D prescriptions, including refills, in 2018.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018. Published rows only; this is not a quality measure.
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Published Part D records, 2018:
- Tramadol Hcl โ 25 prescription fills, including refills.
- Omeprazole โ 12 prescription fills, including refills.
- Ondansetron Hcl โ 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 23 in 2017 to 84 in 2018.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2017โ2018.
Practice Location & Contact Primary Location
4800 Hedgcoxe Rd Ste 200
Plano, TX 750242402
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $10,528 in 2018
The total amount Medicare approved for these services in 2018. 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 โ by Provider and Service, 2018.
Paid by Medicare
About $7,397 in 2018
The part of the Medicare-allowed amount that Medicare itself paid in 2018, 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 โ by Provider and Service, 2018.
30-day fills
70 standardized 30-day fills in 2018
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
$474 in 2018
The total cost of these prescriptions in 2018, 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 โ by Provider and Drug, 2018.
Open Payments general payments, program year 2025
All general payments: $4,496.36 across 99 records.
By nature of payment
- Food and Beverage: $3,219.25 across 94 records.
- Travel and Lodging: $1,277.11 across 5 records.
Reporting-company totals (3 largest of 13)
- Boston Scientific Corporation: $1,738.93 across 9 records.
- Levita Magnetics International Corp.: $706.83 across 35 records.
- Medtronic, Inc.: $506.70 across 7 records.
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).
NPI first issued
2010
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Carlton 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 Dr. Carlton 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 Plano and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Carlton are from 2018.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Carlton are from 2018.
48 active clinicians are listed under Surgery with a practice address in Plano, TX (2,193 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Plano
4.2% of these 48 clinicians have the CMS telehealth indicator.
60.4% of these 48 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 265% from 23 in 2017 to 84 in 2018.
- 2017: 23
- 2018: 84
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Medicare-allowed amount
Medicare-allowed amount increased 203% from $3,474 in 2017 to $10,528 in 2018.
- 2017: $3,474
- 2018: $10,528
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Paid by Medicare
Paid by Medicare increased 169% from $2,752 in 2017 to $7,397 in 2018.
- 2017: $2,752
- 2018: $7,397
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 123% from 22 in 2013 to 49 in 2018.
- 2013: 22
- 2017: 11
- 2018: 49
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30-day fills
30-day fills increased 218% from 22 in 2013 to 70 in 2018.
- 2013: 22
- 2017: 11
- 2018: 70
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Part D drug cost
Part D drug cost went from $316 in 2013 to $474 in 2018.
- 2013: $316
- 2017: $156
- 2018: $474
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 73% from $16,578.04 in 2021 to $4,496.36 in 2025.
- 2021: $16,578.04
- 2022: $3,589.63
- 2023: $5,488.39
- 2024: $15,740.18
- 2025: $4,496.36
Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Medicare Part D Prescribers (2018), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท 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 โ December 31, 2025): 99 records totaling $4,496.36.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Travel and Lodging
In-kind items and services
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OverStitch Endoscopic Suturing System | General | $470.25 |
| Boston Scientific Corporation |
Travel and Lodging
In-kind items and services
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OverStitch Endoscopic Suturing System | General | $333.00 |
| Centinel Spine, LLC |
Food and Beverage
Cash or cash equivalent
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PRODISC L | General | $216.47 |
| Boston Scientific Corporation |
Travel and Lodging
In-kind items and services
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OverStitch Endoscopic Suturing System | General | $204.27 |
| Boston Scientific Corporation |
Travel and Lodging
In-kind items and services
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OverStitch Endoscopic Suturing System | General | $183.55 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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OverStitch Endoscopic Suturing System | General | $178.06 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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OverStitch Endoscopic Suturing System | General | $151.69 |
| Teleflex LLC |
Food and Beverage
In-kind items and services
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TITAN SGS BAILOUT CHUCK | General | $140.58 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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SIGNIA | General | $137.12 |
| Baxter Healthcare |
Food and Beverage
In-kind items and services
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โ | General | $129.02 |
| Phathom Pharmaceuticals, Inc. |
Food and Beverage
Cash or cash equivalent
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VOQUEZNA | General | $123.99 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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ENDOFLIP | General | $123.57 |
| Alafair Biosciences, Inc. |
Food and Beverage
In-kind items and services
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VersaWrap | General | $119.16 |
| Levita Magnetics International Corp. |
Food and Beverage
In-kind items and services
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Toothed Grasper, Magnetic Surgical System | General | $113.29 |
| Boston Scientific Corporation |
Travel and Lodging
In-kind items and services
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OverStitch Endoscopic Suturing System | General | $86.04 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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OverStitch Endoscopic Suturing System | General | $78.34 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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SIGNIA | General | $73.55 |
| Levita Magnetics International Corp. |
Food and Beverage
In-kind items and services
|
Toothed Grasper, Magnetic Surgical System | General | $64.03 |
| Levita Magnetics International Corp. |
Food and Beverage
In-kind items and services
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Toothed Grasper, Magnetic Surgical System | General | $56.73 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
MICRA | General | $56.09 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
APOLLO ESG System | General | $53.73 |
| Levita Magnetics International Corp. |
Food and Beverage
In-kind items and services
|
Toothed Grasper, Magnetic Surgical System | General | $51.76 |
| ABIOMED |
Food and Beverage
In-kind items and services
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โ | General | $50.21 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
SIGNIA | General | $48.54 |
| Levita Magnetics International Corp. |
Food and Beverage
In-kind items and services
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Toothed Grasper, Magnetic Surgical System | General | $47.98 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2017 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 โ by Provider and Service data, 2017โ2018; 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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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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44 | 44 | $648.66 | $162.77 |
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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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26 | 19 | $290.27 | $72.15 |
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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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14 | 14 | $514.07 | $106.45 |
Source: CMS Part B by Provider and Service, 2018; 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 2018.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tramadol Hcl | Tramadol Hcl | 25 | 163 | $104.32 | 23 |
| Omeprazole | Omeprazole | 12 | 989 | $248.81 | 12 |
| Ondansetron Hcl | Ondansetron Hcl | 12 | 112 | $121.08 | 12 |
Source: CMS Part D by Provider and Drug, 2018; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-04-01NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20110817000208
TX
6608045208
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4800 HEDGCOXE RD STE 200, PLANO, TX 750242402 (Tel: 9722327171)
Registered at 5600 W LOVERS LN STE 116, DALLAS, TX 752094360 (Tel: 9722327171)
Registered at 5757 WARREN PKWY STE 204, FRISCO, TX 750344206 (Tel: 9722327171)
NPI status registered as active in NPPES database
Registered at 6000 COLLEYVILLE BLVD STE 150, COLLEYVILLE, TX 760348024 (Tel: 8172038779)
Registered at 1000 W CANNON ST, FORT WORTH, TX 761043029 (Tel: 8177257900)
Recorded as CHAD CARLTON, M.D.
Surgery (license number reported to NPPES: TX N5606)
NPI status registered as active in NPPES database
Registered at 5500 DEMOCRACY DR STE 150, PLANO, TX 750244202 (Tel: 9724943100)
Registered at 816 MEANDERING WOODS DR, KELLER, TX 762488463 (Tel: 8175763694)
Recorded as CHAD CARLTON, M.D.
Surgery (license number reported to NPPES: TX N5606)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery Specialists in Plano
- Dr. James Jenkins, MD
- Dr. Philip Fidler, MD
- Dr. Ramsey Stone, MD
- Dr. Dean Cione, MD, FACS
- Dr. Warrett Kennard, MD
- Dr. Alexander Dowli, MD
Mailing Address
5600 W Lovers Ln Ste 116
Dallas, TX 752094360
Phone: 9722327171