ANTHONY D CARTER (DO) – Emergency Medicine Physician, NPI 1386610947

ANTHONY D CARTER (DO) is a healthcare provider. based in Cedar rapids, Iowa. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 03069 (IA). The NPI Number for ANTHONY D CARTER (DO) is 1386610947

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY D CARTER (DO)
NPI
1386610947
Phone
(319) 369-7105
Address
1026 A AVE NE
Enumeration Date
24 February 2006
Last Update Date
26 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193697211
Graduation Year
1995 (31 years ago)
PAC ID
2860470044
Group Practice PAC ID
8729992318
Professional Enrollment ID
I20051025000574
Address ID
IA524025036CE1026XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

483 EMERGENCY MEDICINE in IA

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Provider Addresses for ANTHONY D CARTER (DO)

  • Saint Luke's Hospital, 1026, A Avenue Northeast, MedQuarter, Cedar Rapids, Linn County, Iowa, 52402, United States

    CEDAR RAPIDS, IA 524025036

    Phone: (319) 369-7105

    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 43 Open Payments records for all available years, with a total value of $109,163.

Total Amount is formed as General ($109,163) + Research ($0) + Ownership ($0) = $109,163.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($109,163).

Total Amount

$109,163

General + Research + Ownership

Payments

43

Total payment records

General Amount

$109,163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-10-25

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
I20051025000574IEmergency MedicineIATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making147145$0
99284Emergency department visit with moderate level of medical decision making4747$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2927$0
99291Critical care, first 30-74 minutes1919$0
99239Hospital discharge day management, more than 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 52402)

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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: 8729992318View full group profile

Reviews

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Frequently asked questions

How do I look up ANTHONY D CARTER (DO) by NPI?
Use NPI 1386610947 when you need to reference ANTHONY D CARTER (DO) in forms, claims, or directories.
Is ANTHONY D CARTER (DO)'s NPI currently valid?
The extract we use shows ANTHONY D CARTER (DO) as active.
Does ANTHONY D CARTER (DO) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for ANTHONY D CARTER (DO). Clinical services aligned with this taxonomy classification.
Where does public data place ANTHONY D CARTER (DO)?
The snapshot lists Cedar Rapids, Iowa for ANTHONY D CARTER (DO); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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