Active NPI 1750566048 Individual Practitioner Male Practitioner

Dr. Carl P. Middleton , MD

Internal Medicine • Irving, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carl Middleton, MD is a certified Internal Medicine practicing in Irving, TX. With approximately 21 years of clinical experience since graduating from Howard University College Of Medicine in 2005, Dr. Middleton delivers high-quality medical care to the local community at 6121 N HWY 161.

Dr. Middleton maintains professional affiliations with Cp Middleton, Md Pa, University Of Texas Southwestern Medical Center At Dallas and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6121 N Hwy 161

Irving, TX 750382265

Telephone 2149640600

Associated Practice Facility / Clinic

🏢 University Of Texas Southwestern Medical Center At Dallas Facility NPI 1760452767

Medicare Profile & Education

Medical School

Howard University College Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Irving, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -3.7 yrs vs City Avg

City Avg: 24.7 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

102 Specialists

Practicing in Irving, TX (9538 Statewide)

Telehealth Adoption Rate

25.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Middleton (21 Years) 21 Yrs

Irving Specialty Average (24.7 Years) 24.7 Yrs

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	42	$443.32	$126.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	23	$295.71	$76.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$556.03	$126.58
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$302.74	$89.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$481.36	$127.11

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	75	43	$443.32	$125.14
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$302.74	$77.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$556.03	$127.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	12	$295.71	$77.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$475.47	$127.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$668.64	$163.43

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	106	44	$443.32	$124.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	38	$295.71	$70.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	42	$556.03	$132.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$475.47	$131.48
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$302.74	$80.76
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$69.41	$14.29

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	136	59	$443.32	$128.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	53	$295.71	$71.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	52	$556.03	$135.04
99213 Established patient office or other outpatient visit, typically 15 minutes	31	23	$302.74	$88.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$475.47	$133.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	12	$593.39	$180.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$668.64	$168.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	116	58	$293.16	$73.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	53	$443.32	$104.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	51	$556.03	$138.88
99213 Established patient office or other outpatient visit, typically 15 minutes	34	27	$302.74	$63.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$475.47	$116.80
G0444 Annual depression screening, 5 to 15 minutes	25	25	$74.14	$18.01
93000 Routine ekg using at least 12 leads including interpretation and report	22	20	$69.41	$17.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	227	118	$155.17	$71.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	59	$241.60	$107.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	68	65	$296.62	$135.35
99213 Established patient office or other outpatient visit, typically 15 minutes	38	27	$194.77	$72.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	20	$75.21	$38.93
99239 Hospital discharge day management, more than 30 minutes	25	22	$203.51	$106.15
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	18	17	$16.81	$8.45
G0444 Annual depression screening, 5 to 15 minutes	15	15	$47.93	$17.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	11	$197.55	$102.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$365.60	$114.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	11	$385.05	$200.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	281	138	$143.50	$67.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	182	80	$78.67	$36.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	59	$206.00	$100.75
99239 Hospital discharge day management, more than 30 minutes	79	75	$217.54	$100.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	60	$269.12	$127.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	43	$407.94	$184.81
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	32	26	$21.00	$7.55
99213 Established patient office or other outpatient visit, typically 15 minutes	29	23	$138.62	$68.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	23	$206.92	$97.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$219.10	$108.61
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	17	$103.85	$50.54
G0444 Annual depression screening, 5 to 15 minutes	16	16	$25.00	$16.75
G0452 Molecular pathology procedure; physician interpretation and report	15	14	$33.00	$17.34
G0008 Administration of influenza virus vaccine	14	14	$50.00	$20.22
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	13	$16.81	$7.95
93923 Complete ultrasound study of arm and leg arteries	12	11	$316.03	$127.99
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$50.00	$19.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	375	189	$145.37	$69.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	306	136	$78.97	$37.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	80	$205.09	$102.52
99239 Hospital discharge day management, more than 30 minutes	135	129	$216.73	$103.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	73	70	$406.86	$196.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	67	50	$209.96	$101.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	65	$274.21	$132.32
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	39	34	$20.61	$8.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	19	$275.60	$137.81
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$138.62	$68.71
G0452 Molecular pathology procedure; physician interpretation and report	17	17	$20.21	$17.69
G0008 Administration of influenza virus vaccine	16	16	$50.00	$25.11

Medical Specialties & State Licenses

CMS Verified: 2026-03-02

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX N0978

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License TX N0978

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

197324003 (TX)

Medicaid State Provider ID

197324005 (TX)

Medicaid State Provider ID

156122701 (TX)

Medicaid State Provider ID

197324004 (TX)

Commercial Insurance / Payer ID Tax Identification Number

75-2966610 (TX)

Hospital & Practice Group Affiliations

University Of Texas Southwestern Medical Center At Dallas

6121 N Hwy 161, Irving, TX 750382270

Phone: 2146335555

Cp Middleton, Md Pa

5040 N Tarrant Pkwy, Fort Worth, TX 762445390

Phone: 8177884849

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Sumitha Atluri , MD

Internal Medicine

NPI 1265513923

Doctor of Medicine (M.D.)

Dr. Anton Kharoufeh , MD

Obstetrics & Gynecology

NPI 1619466075

Doctor of Medicine (M.D.)

Dr. Wen Lai , MD

Internal Medicine

NPI 1689698870

Doctor of Medicine (M.D.)

Pamela Soyebo , NP-C

Nurse Practitioner - Family

NPI 1972018638

Nurse Practitioner (Certified)

Dr. Pritha Browning , MD

Internal Medicine

NPI 1992723126

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 02, 2026

Registered at 6121 N HWY 161, IRVING, TX 750382265 (Tel: 2149640600)

📍

Updated Business Mailing Address March 02, 2026

Registered at PO BOX 845347, DALLAS, TX 752847208

✅

NPI Profile Active October 04, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 04, 2010

Registered at 323 WESTPARK WAY, EULESS, TX 760403902 (Tel: 8662021032)

📍

Updated Business Mailing Address October 04, 2010

Registered at 323 WESTPARK WAY, EULESS, TX 760403902 (Tel: 8662021032)

👤

Provider Name / Credentials Updated October 04, 2010

Recorded as CARL MIDDLETON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2010

Internal Medicine (License #N0978 in TX)

🟢

Initial NPI Registration & Enumeration January 04, 2008

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: 1750566048

Entity Type:

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

Enumeration Date: January 04, 2008

Last Update: March 02, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 845347

Dallas, TX 752847208

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.