Active NPI 1013194299 Individual Practitioner Female Practitioner

Carmen Leigh Holmes , PA

Physician Assistant • Paris, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Carmen Holmes, PA is a certified Physician Assistant practicing in Paris, TX. With approximately 19 years of clinical experience since completing medical education in 2007, Carmen Holmes delivers high-quality medical care to the local community at 3435 NE LOOP 286.

Carmen Holmes is affiliated with Paris Orthopedic Clinic Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, denosumab, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3435 Ne Loop 286

Paris, TX 754605002

Telephone 9037370000

Fax 9037851277

Associated Practice Facility / Clinic

🏢 Paris Orthopedic Clinic Pa Facility NPI 1407867278

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Paris, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +5.8 yrs vs City Avg

City Avg: 13.2 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

15 Specialists

Practicing in Paris, TX (11140 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Holmes (19 Years) 19 Yrs

Paris Specialty Average (13.2 Years) 13.2 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
J0897 Injection, denosumab, 1 mg	28,860	265	$69.00	$25.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,111	231	$3.00	$0.98
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,664	19	$51.00	$17.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	563	284	$70.00	$11.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	502	277	$160.00	$103.60
20610 Aspiration and/or injection of fluid from large joint	408	208	$277.18	$59.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	391	243	$70.00	$45.73
99213 Established patient office or other outpatient visit, typically 15 minutes	340	288	$110.00	$73.37
73564 X-ray of knee, 4 or more views	99	77	$96.97	$37.63
73030 X-ray of shoulder, minimum of 2 views	79	60	$75.95	$26.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$250.00	$133.05
73502 X-ray of hip, 2-3 views	46	43	$116.00	$37.86
72100 X-ray of lower and sacral spine, 2-3 views	42	42	$100.00	$31.90
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	26	19	$358.08	$94.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$170.00	$87.43
20552 Injections of trigger points in 1 or 2 muscles	19	17	$160.00	$37.93
77002 Fluoroscopic guidance for needle placement	18	12	$211.11	$88.24
73130 X-ray of hand, minimum of 3 views	18	14	$75.56	$27.07
73630 X-ray of foot, minimum of 3 views	16	11	$80.00	$27.36
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	15	11	$2137.00	$667.35
73610 X-ray of ankle, minimum of 3 views	12	11	$87.00	$26.77
20605 Aspiration and/or injection of medium joint or joint capsule	12	11	$204.17	$42.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	30,300	283	$65.63	$23.20
J3111 Injection, romosozumab-aqqg, 1 mg	15,750	13	$29.70	$9.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,087	232	$3.52	$1.06
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,536	15	$52.50	$16.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	613	314	$70.00	$11.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	494	313	$160.00	$103.81
99213 Established patient office or other outpatient visit, typically 15 minutes	457	343	$110.00	$73.35
20610 Aspiration and/or injection of fluid from large joint	411	208	$268.92	$58.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	391	254	$70.00	$45.99
73564 X-ray of knee, 4 or more views	129	103	$100.00	$37.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$250.00	$136.06
73030 X-ray of shoulder, minimum of 2 views	77	65	$81.82	$28.58
73502 X-ray of hip, 2-3 views	48	47	$116.00	$37.64
72100 X-ray of lower and sacral spine, 2-3 views	45	45	$100.00	$31.98
73130 X-ray of hand, minimum of 3 views	30	23	$80.00	$30.08
73630 X-ray of foot, minimum of 3 views	26	17	$80.00	$27.94
20552 Injections of trigger points in 1 or 2 muscles	26	20	$160.00	$38.11
73562 X-ray of knee, 3 views	19	14	$90.00	$33.13
20550 Injection into tendon or ligament	17	13	$185.29	$47.13
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	16	13	$448.88	$109.11
77002 Fluoroscopic guidance for needle placement	16	12	$200.00	$94.88
73070 X-ray of elbow, 2 views	13	11	$80.00	$23.84
73110 X-ray of wrist, minimum of 3 views	13	11	$80.00	$33.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	29,340	281	$48.00	$21.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,285	252	$6.00	$1.14
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,376	18	$57.00	$17.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	575	314	$70.00	$11.89
99213 Established patient office or other outpatient visit, typically 15 minutes	522	358	$110.00	$75.22
20610 Aspiration and/or injection of fluid from large joint	465	234	$267.25	$59.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	439	322	$160.00	$105.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	378	249	$70.00	$46.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	174	174	$250.00	$136.77
73564 X-ray of knee, 4 or more views	150	116	$98.93	$38.71
73030 X-ray of shoulder, minimum of 2 views	90	72	$80.89	$29.29
73502 X-ray of hip, 2-3 views	56	52	$116.00	$38.47
72100 X-ray of lower and sacral spine, 2-3 views	39	39	$100.00	$32.69
73630 X-ray of foot, minimum of 3 views	24	16	$80.00	$28.98
73130 X-ray of hand, minimum of 3 views	22	19	$80.00	$30.66
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	20	15	$2211.00	$717.50
20605 Aspiration and/or injection of medium joint or joint capsule	20	17	$183.75	$41.00
73562 X-ray of knee, 3 views	17	15	$90.00	$32.83
20552 Injections of trigger points in 1 or 2 muscles	17	11	$164.24	$35.44
73110 X-ray of wrist, minimum of 3 views	16	11	$80.00	$34.31
73610 X-ray of ankle, minimum of 3 views	16	13	$87.00	$31.00
72040 X-ray of upper spine, 2-3 views	15	15	$100.00	$33.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	26,580	245	$48.00	$20.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,227	200	$6.00	$1.26
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,312	13	$57.00	$17.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	487	271	$70.00	$11.80
99213 Established patient office or other outpatient visit, typically 15 minutes	404	296	$110.00	$76.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	401	305	$160.00	$107.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	367	243	$70.00	$46.89
20610 Aspiration and/or injection of fluid from large joint	324	185	$271.40	$58.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	153	153	$250.00	$139.78
73564 X-ray of knee, 4 or more views	114	94	$99.12	$38.44
73030 X-ray of shoulder, minimum of 2 views	75	63	$80.00	$28.39
72100 X-ray of lower and sacral spine, 2-3 views	48	45	$100.00	$33.29
73502 X-ray of hip, 2-3 views	41	40	$116.00	$38.96
J1030 Injection, methylprednisolone acetate, 40 mg	33	13	$20.00	$5.76
73130 X-ray of hand, minimum of 3 views	26	19	$80.00	$29.46
20552 Injections of trigger points in 1 or 2 muscles	21	18	$167.62	$42.20
73630 X-ray of foot, minimum of 3 views	19	13	$80.00	$28.63
73610 X-ray of ankle, minimum of 3 views	19	12	$87.00	$30.67
73110 X-ray of wrist, minimum of 3 views	18	16	$80.00	$32.29
73562 X-ray of knee, 3 views	15	13	$90.00	$31.56
72040 X-ray of upper spine, 2-3 views	15	15	$100.00	$31.32
73070 X-ray of elbow, 2 views	12	12	$80.00	$24.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	23,460	218	$48.00	$19.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,182	189	$5.98	$1.46
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,344	17	$57.00	$18.44
99213 Established patient office or other outpatient visit, typically 15 minutes	692	394	$110.00	$62.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	428	242	$70.00	$11.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	376	269	$70.00	$37.82
20610 Aspiration and/or injection of fluid from large joint	357	191	$265.59	$57.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$170.00	$89.81
73564 X-ray of knee, 4 or more views	109	87	$98.17	$36.21
73030 X-ray of shoulder, minimum of 2 views	95	71	$80.84	$27.57
J1030 Injection, methylprednisolone acetate, 40 mg	86	31	$20.00	$6.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	70	$160.00	$90.29
73502 X-ray of hip, 2-3 views	47	46	$116.00	$36.16
72100 X-ray of lower and sacral spine, 2-3 views	38	37	$100.00	$31.54
73630 X-ray of foot, minimum of 3 views	37	24	$80.00	$26.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$250.00	$137.69
20552 Injections of trigger points in 1 or 2 muscles	29	25	$165.52	$42.84
73130 X-ray of hand, minimum of 3 views	21	19	$80.00	$28.76
73610 X-ray of ankle, minimum of 3 views	18	11	$87.00	$28.77
73562 X-ray of knee, 3 views	17	16	$90.00	$32.26
73110 X-ray of wrist, minimum of 3 views	15	13	$80.00	$32.01
72040 X-ray of upper spine, 2-3 views	15	14	$100.00	$31.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	18,240	178	$48.00	$18.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,834	183	$5.98	$1.57
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,632	25	$57.00	$18.58
99213 Established patient office or other outpatient visit, typically 15 minutes	636	402	$110.00	$60.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	421	297	$70.00	$36.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	338	201	$70.00	$13.58
20610 Aspiration and/or injection of fluid from large joint	336	201	$264.91	$54.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	147	147	$170.00	$88.16
J1030 Injection, methylprednisolone acetate, 40 mg	129	60	$20.00	$6.18
73564 X-ray of knee, 4 or more views	107	81	$99.81	$33.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	79	$160.00	$87.91
73030 X-ray of shoulder, minimum of 2 views	78	61	$78.08	$23.58
72100 X-ray of lower and sacral spine, 2-3 views	60	59	$100.00	$29.39
73502 X-ray of hip, 2-3 views	41	39	$116.00	$34.89
73130 X-ray of hand, minimum of 3 views	39	29	$76.67	$26.02
73630 X-ray of foot, minimum of 3 views	38	30	$80.00	$23.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$250.00	$133.29
73610 X-ray of ankle, minimum of 3 views	26	22	$87.00	$27.07
73110 X-ray of wrist, minimum of 3 views	24	19	$80.00	$29.66
20552 Injections of trigger points in 1 or 2 muscles	23	21	$166.96	$41.80
73562 X-ray of knee, 3 views	21	19	$84.29	$26.95
20550 Injection into tendon or ligament	12	12	$175.00	$39.39
72040 X-ray of upper spine, 2-3 views	11	11	$100.00	$29.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	11,580	114	$48.00	$17.71
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	992	18	$26.00	$11.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	850	109	$6.00	$1.68
99213 Established patient office or other outpatient visit, typically 15 minutes	478	321	$110.00	$58.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	431	297	$70.00	$35.48
20610 Aspiration and/or injection of fluid from large joint	275	180	$253.31	$52.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	214	129	$70.00	$16.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	143	143	$170.00	$87.98
J1030 Injection, methylprednisolone acetate, 40 mg	110	45	$20.73	$6.60
73030 X-ray of shoulder, minimum of 2 views	82	61	$79.39	$23.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	69	$160.00	$86.43
73564 X-ray of knee, 4 or more views	70	57	$100.00	$31.97
73562 X-ray of knee, 3 views	68	57	$90.00	$27.94
73502 X-ray of hip, 2-3 views	53	52	$114.43	$31.99
73630 X-ray of foot, minimum of 3 views	51	36	$80.00	$23.69
72100 X-ray of lower and sacral spine, 2-3 views	46	44	$100.00	$27.84
73130 X-ray of hand, minimum of 3 views	31	17	$80.00	$25.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$250.00	$131.47
73110 X-ray of wrist, minimum of 3 views	27	23	$80.00	$28.21
73610 X-ray of ankle, minimum of 3 views	26	22	$82.62	$23.20
73560 X-ray of knee, 1-2 views	17	11	$82.00	$23.94
20552 Injections of trigger points in 1 or 2 muscles	16	14	$160.00	$39.66
73100 X-ray of wrist, 2 views	16	12	$80.00	$25.38
20605 Aspiration and/or injection of medium joint or joint capsule	14	12	$187.50	$39.61
72040 X-ray of upper spine, 2-3 views	13	13	$100.00	$26.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	4,920	59	$48.00	$16.74
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,344	25	$26.00	$11.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	397	241	$70.00	$35.24
99213 Established patient office or other outpatient visit, typically 15 minutes	305	226	$110.00	$59.25
20610 Aspiration and/or injection of fluid from large joint	244	167	$249.36	$52.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$170.00	$87.46
73562 X-ray of knee, 3 views	100	88	$89.38	$28.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	95	72	$70.00	$20.42
73030 X-ray of shoulder, minimum of 2 views	75	61	$80.00	$23.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	49	$160.00	$86.09
72100 X-ray of lower and sacral spine, 2-3 views	38	37	$100.00	$28.05
73502 X-ray of hip, 2-3 views	38	36	$116.00	$32.44
73630 X-ray of foot, minimum of 3 views	35	23	$78.57	$22.73
73560 X-ray of knee, 1-2 views	26	19	$82.00	$23.23
73110 X-ray of wrist, minimum of 3 views	25	14	$80.00	$28.18
73100 X-ray of wrist, 2 views	24	15	$80.00	$23.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$250.00	$133.63
72040 X-ray of upper spine, 2-3 views	13	13	$100.00	$26.34
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$110.00	$60.78

Medical Specialties & State Licenses

CMS Verified: 2026-03-26

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA05647

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

Medicaid State Provider ID

315267002 (TX)

Medicaid State Provider ID

200451030A (OK)

Hospital & Practice Group Affiliations

Paris Orthopedic Clinic Pa

3435 Ne Loop, Paris, TX 754605002

Phone: 9037370017

Practice Associates & Co-Workers

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

8 Associated Practitioners

Kelly Merritt , APRN

Nurse Practitioner - Family

NPI 1093349987

Advanced Practice Registered Nurse

Kenneth Taylor , PA-C

Physician Assistant

NPI 1306257365

Physician Assistant (Certified)

Dr. Michael Elliott , DO

Orthopaedic Surgery

NPI 1538471198

Doctor of Osteopathic Medicine (D.O.)

Dr. Mark Gibbs , MD

Orthopaedic Surgery

NPI 1568685873

Doctor of Medicine (M.D.)

Dr. Gregory Green , MD

Orthopaedic Surgery

NPI 1619976982

Doctor of Medicine (M.D.)

Richy Charls

Orthopaedic Surgery

NPI 1649730391

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address March 26, 2026

Registered at 3435 NE LOOP 286, PARIS, TX 754605088 (Tel: 9037370000)

✅

NPI Profile Active February 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 09, 2016

Registered at 3435 NE LOOP 286, PARIS, TX 754605002 (Tel: 9037370000)

📍

Updated Business Mailing Address February 09, 2016

Registered at 3435 NE LOOP 286, PARIS, TX 754605002 (Tel: 9037370000)

👤

Provider Name / Credentials Updated February 09, 2016

Recorded as CARMEN HOLMES, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2016

Physician Assistant (License #PA05647 in TX)

🟢

Initial NPI Registration & Enumeration January 30, 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: 1013194299

Entity Type:

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

Enumeration Date: January 30, 2008

Last Update: March 26, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3435 Ne Loop 286

Paris, TX 754605088

Phone: 9037370000

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.