KENNETH O. CARTER (M.D.) – Psychiatry Physician, NPI 1073547543

KENNETH O. CARTER (M.D.) is a healthcare provider. based in Bay pines, Florida. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. ME127103 (FL). The NPI Number for KENNETH O. CARTER (M.D.) is 1073547543

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH O. CARTER (M.D.)
NPI
1073547543
Phone
(727) 273-6828
Address
1000 BAY PINES BLVD.
Enumeration Date
10 July 2006
Last Update Date
1 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3524313940
Graduation Year
1985 (41 years ago)
PAC ID
0345374641
Group Practice PAC ID
9638306673
Professional Enrollment ID
I20161003000005
Address ID
FL344747501OC3235XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,953 PSYCHIATRY in FL

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Provider Addresses for KENNETH O. CARTER (M.D.)

  • Bay Pines Lakes Boulevard, Bay Pines, Pinellas County, Florida, 33708, United States

    BAY PINES, FL 33744

    Phone: (727) 273-6828

    Type: Location

  • 235 3RD AVE N UNIT 551

    ST PETERSBURG, FL 337013383

    Phone: (704) 953-8039

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161003000005IPsychiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33744)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638306673View full group profile
NameSpecialtyState
Nurse PractitionerFL
Mental Health CounselorFL
P S Y C H I A T R YNY
Mental Health CounselorFL
Nurse PractitionerFL
P S Y C H I A T R YFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

What is the registry number for KENNETH O. CARTER (M.D.)?
The registry entry for KENNETH O. CARTER (M.D.) shows NPI 1073547543.
Does the public listing show KENNETH O. CARTER (M.D.) as active?
KENNETH O. CARTER (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits KENNETH O. CARTER (M.D.)?
NPPES ties KENNETH O. CARTER (M.D.) to Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is KENNETH O. CARTER (M.D.) tied to Bay Pines, Florida?
If you are local to Bay Pines, Florida, KENNETH O. CARTER (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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