KAREN L. CARTER (MD) – Pediatric Neurodevelopmental Disabilities Physician, NPI 1255441994
Pediatric Neurodevelopmental Disabilities Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
496 PEDIATRIC MEDICINE in GA
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Provider Addresses for KAREN L. CARTER (MD)
1303, D'Antignac Street, Augusta, Richmond County, Georgia, 30901, United States
SUITE 2100
AUGUSTA, GA 30901
Phone: (706) 396-0600
Fax: (706) 396-0606
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 179 Open Payments records for all available years, with a total value of $3,147.
Total Amount is formed as General ($3,147) + Research ($0) + Ownership ($0) = $3,147.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Neurelis, Inc. ($702).
Total Amount
$3,147
General + Research + Ownership
Payments
179
Total payment records
General Amount
$3,147
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurelis, Inc. | $702 |
| Supernus Pharmaceuticals, Inc. | $681 |
| UCB, Inc. | $430 |
| Ironshore Pharmaceuticals Inc. | $234 |
| IRONSHORE PHARMACEUTICALS INC. | $192 |
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: 2005-01-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050107000574 | I | Pediatric Medicine | GA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 185 | 95 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 89 | 61 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 39 | 13 | $0 |
| 86580 | Skin test for tuberculosis | 25 | 24 | $0 |
| 96112 | Administration of developmental test, first hour | 25 | 24 | $0 |
Insurance plans in this area (ZIP 30901)
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