Doctor profile · Federal record

Dr. Katie Carillon, P.A.C.

Medical Physician Assistant (CMS: Physician Assistant) · Maumelle, AR

  • NPI 1649538679
  • Accepts Medicare
  • 15 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1701 Club Manor Dr Ste 2B
Maumelle, AR 721137401
(501) 843-4555
fax (501) 743-1550
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 722114393

Credentials & registration

NPPES · NUCC
NPI registered
April 2012 — 14 yrs on file
Profile last updated
September 20, 2024
Year of graduation
2011 — 15 yrs since
Specialty taxonomy
363AM0700X — NUCC code
State license (1)
Arkansas #PA468

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1649538679. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$129
Transactions
7
Manufacturers
5
Payer (manufacturer) Industry Txns Amount
Silk Road Medical, INC. 2 $37.09
GlaxoSmithKline, LLC. 2 $32.30
Abbvie INC. 1 $25.51
Phathom Pharmaceuticals, INC. 1 $18.78
Novo Nordisk INC 1 $15.70

By nature of payment

Food and Beverage
$129

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
228
Patients
96
Total drug cost
$3,042
Drug Type Claims Patients Total cost
Ciprofloxacin Hcl Generic 25 23 $222
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 22 21 $238
Prednisone Generic 21 18 $66
Pantoprazole Sodium Generic 20 0 $180
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 19 0 $477
Cefdinir Generic 18 18 $402
Amoxicillin Generic 17 16 $91
Omeprazole Generic 17 0 $525
Atorvastatin Calcium Generic 16 0 $357
Lisinopril Generic 16 0 $111

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Katie Carillon's medical specialty?
Dr. Katie Carillon practices Medical Physician Assistant in Maumelle, AR.
Where does Dr. Katie Carillon practice?
Dr. Katie Carillon practices at 1701 Club Manor Dr Ste 2B, Maumelle, AR 721137401. Office phone: 5018434555.
What is Dr. Katie Carillon's NPI?
Dr. Katie Carillon's National Provider Identifier (NPI) is 1649538679, issued by NPPES.
Does Dr. Katie Carillon accept Medicare assignment?
Yes. Dr. Katie Carillon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.