Active NPI 1811980873 Individual Practitioner Male Practitioner

Dr. Jack Carleton , MD

Internal Medicine • Newburgh, NY

Professional Overview & Biography Verified Profile Summary

Dr. Jack Carleton, MD is a registered healthcare professional specializing in Internal Medicine in Newburgh, NY. Practice services are available at 600 STONY BROOK CT under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Stony Brook Ct

Newburgh, NY 125506524

Telephone 8453918557

Fax 8456088270

Associated Practice Facility / Clinic

🏢 Integrated Medical Healthcare Services Pllc Facility NPI 1861020810

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Newburgh, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 28.9 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

28 Specialists

Practicing in Newburgh, NY (12979 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

35.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	33	$165.27	$96.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	24	$234.27	$135.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$171.14	$137.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	28	$234.27	$136.98
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$165.27	$97.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	17	$234.27	$140.86
99213 Established patient office or other outpatient visit, typically 15 minutes	25	17	$165.27	$100.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	15	$234.27	$144.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$203.09	$125.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	102	$245.73	$114.84
99213 Established patient office or other outpatient visit, typically 15 minutes	82	76	$154.69	$78.81
J1885 Injection, ketorolac tromethamine, per 15 mg	71	25	$30.00	$0.53
36415 Insertion of needle into vein for collection of blood sample	62	61	$18.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	61	61	$31.00	$8.46
80053 Blood test, comprehensive group of blood chemicals	59	59	$36.00	$11.51
81003 Automated urinalysis test	43	43	$10.00	$2.44
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	36	12	$6.00	$0.04
87077 Bacterial culture for aerobic isolates	33	19	$25.00	$8.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	24	$60.00	$17.84
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	22	15	$25.00	$9.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$330.00	$154.98
82150 Amylase (enzyme) level	15	15	$20.00	$7.06
87086 Bacterial colony count, urine	14	14	$25.00	$8.79
83690 Lipase (fat enzyme) level	14	14	$23.00	$7.50
94640 Inhalation treatment for airway obstruction or sputum production	13	13	$60.00	$19.72
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$60.00	$17.95
81001 Manual urinalysis test with examination using microscope, automated	12	12	$10.00	$3.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$250.00	$115.89
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	11	11	$130.45	$42.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	109	$227.86	$111.95
99213 Established patient office or other outpatient visit, typically 15 minutes	71	69	$146.13	$77.00
36415 Insertion of needle into vein for collection of blood sample	52	52	$18.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	51	51	$31.00	$9.40
80053 Blood test, comprehensive group of blood chemicals	50	50	$36.00	$12.78
J1885 Injection, ketorolac tromethamine, per 15 mg	42	13	$30.00	$0.57
81003 Automated urinalysis test	35	34	$10.00	$2.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	22	$59.46	$21.78
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$60.00	$17.92
87086 Bacterial colony count, urine	18	17	$25.00	$9.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$311.25	$152.84
82962 Blood glucose (sugar) test performed by hand-held instrument	16	15	$7.00	$3.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	68	$225.00	$109.70
36415 Insertion of needle into vein for collection of blood sample	42	41	$18.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	42	42	$155.00	$74.61
80053 Blood test, comprehensive group of blood chemicals	33	33	$36.00	$12.73
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	30	30	$31.00	$10.45
81003 Automated urinalysis test	25	25	$10.00	$3.02
87077 Bacterial culture for aerobic isolates	18	13	$25.00	$10.86
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$60.00	$17.44
87086 Bacterial colony count, urine	13	13	$25.00	$10.85
83690 Lipase (fat enzyme) level	11	11	$23.00	$7.82
82150 Amylase (enzyme) level	11	11	$20.00	$8.71

Medical Specialties & State Licenses

CMS Verified: 2022-02-21

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 128487

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00874864 (NY)

Secondary Practice Locations

800 Red Mills Rd

Wallkill, NY 125893220

Phone: 8457449105

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Conrado Tojino , MD

Specialist

NPI 1063588390

Doctor of Medicine (M.D.)

Dr. Yu-Kuan Lin , MD

Urology

NPI 1063706414

Doctor of Medicine (M.D.)

Frank Morales , FNP-BC

Nurse Practitioner - Family

NPI 1326076969

Family Nurse Practitioner (Board Certified)

Amanda Winters , CNM, MIDWIFE, RN, LM

Advanced Practice Midwife

NPI 1649507054

Certified Nurse Midwife, MIDWIFE, Registered Nurse, LM

Danielle Lutz

Doula

NPI 1700547940

Dr. Paul Pomerantz , MD

Urology

NPI 1770676595

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Business Mailing Address February 21, 2022

Registered at 800 RED MILLS RD, WALLKILL, NY 125893220 (Tel: 8457449105)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2022

Internal Medicine (License #128487 in NY)

📍

Updated Practice Location April 13, 2020

Registered at 600 STONY BROOK CT, NEWBURGH, NY 125506524 (Tel: 8453918557)

✅

NPI Profile Active November 17, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 17, 2009

Registered at 155 CRYSTAL RUN RD, MIDDLETOWN, NY 109414028 (Tel: 8457036999)

📍

Updated Business Mailing Address November 17, 2009

Registered at 155 CRYSTAL RUN RD, MIDDLETOWN, NY 109414028 (Tel: 8457036999)

👤

Provider Name / Credentials Updated November 17, 2009

Recorded as JACK CARLETON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2009

Emergency Medicine (License #128487 in NY)

🟢

Initial NPI Registration & Enumeration August 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811980873

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 25, 2005

Last Update: February 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

800 Red Mills Rd

Wallkill, NY 125893220

Phone: 8457449105

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.