Dr Carl M Pafford, MD - Medicare Family Practice in Fishers, IN

Dr Carl M Pafford, MD is a medicare enrolled "Family Medicine" physician in Fishers, Indiana. He went to Indiana University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Indiana University Health Care Associates Inc and his current practice location is 8890 E 116th St, Suite 300, Fishers, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 621-1500.

Dr Carl M Pafford is licensed to practice in Indiana (license number 01052893A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457340622.

Contact Information

Dr Carl M Pafford, MD
8890 E 116th St, Suite 300,
Fishers, IN 46038-2820
(317) 621-1500
(317) 621-1509

Map and Direction




Physician's Profile

Full NameDr Carl M Pafford
GenderMale
SpecialityFamily Practice
Experience25 Years
Location8890 E 116th St, Fishers, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carl M Pafford attended and graduated from Indiana University School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1457340622
  • Provider Enumeration Date: 10/19/2005
  • Last Update Date: 10/12/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9436107810
  • Enrollment ID: I20050112000559

Medical Identifiers

Medical identifiers for Dr Carl M Pafford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457340622NPI-NPPES
000000850979OtherINANTHEM PIN
000000603506OtherINANTHEM - TIPTON HOSPITAL
P01679333OtherINRR MEDICARE
200297780MedicaidIN
000000572613OtherINANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 01052893A (Indiana)Secondary
207Q00000XFamily Medicine 01052893A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University Health Ball Memorial HospitalMuncie, INHospital
Indiana University Health Tipton Hospital IncTipton, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indiana University Health Care Associates Inc5799755864882

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Carl M Pafford allows following entities to bill medicare on his behalf.
Entity NameIndiana University Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902032832
PECOS PAC ID: 5799755864
Enrollment ID: O20040727000955

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carl M Pafford is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Carl M Pafford, MD
6626 E 75th St, Suite 500,
Indianapolis, IN 46250-2805

Ph: () -
Dr Carl M Pafford, MD
8890 E 116th St, Suite 300,
Fishers, IN 46038-2820

Ph: (317) 621-1500

Reviews and Comments


Family Medicine Doctors in Fishers, IN

Darcy L Henson, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 13121 Olio Road, Suite 300, Fishers, IN 46037
Phone: 317-621-1300    Fax: 317-621-1310
Mrs. Daniela Gueorguieva Djodjeva, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 12574 Promise Creek Ln Ste 110, Fishers, IN 46038
Phone: 317-900-1206    Fax: 317-773-0844
Kristen L. Blume, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10995 Allisonville Rd, Suite 100, Fishers, IN 46038
Phone: 317-842-7928    Fax: 317-841-3337
Robert Andrew Zukas, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11846 Lakeside Dr, Fishers, IN 46038
Phone: 317-621-4830    Fax: 317-621-4831
Todd R Fogelsong, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13121 Olio Rd, Suite 300, Fishers, IN 46037
Phone: 317-621-1300    
Stephan M Zentner, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 9795 E 116th St, Fishers, IN 46037
Phone: 317-913-8100    
Carrie A Melloh, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8890 E 116th St, Suite 300, Fishers, IN 46038
Phone: 317-621-1500    Fax: 317-621-1509

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.