WALLACE R JR. CARTER (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1659370070
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
43 CARDIAC SURGERY in KY
Provider Addresses for WALLACE R JR. CARTER (M.D.)
PO BOX 2697
BOWLING GREEN, KY 421027697
Phone: (270) 745-1467
Fax: (270) 745-1417
Type: Mailing
825 2ND AVE STE B1
BOWLING GREEN, KY 421011790
Phone: (270) 796-3330
Fax: (270) 796-3338
Type: Location
1301 Pleasant Valley Rd Ste 201
Owensboro, KY 423039774
Phone: (270) 417-7510
Fax: (270) 417-7529
Type: Location
Medical Arts Building, 350, Park Street, Bowling Green, Warren County, Kentucky, 42101, United States
BOWLING GREEN, KY 421011784
Phone: (270) 796-3330
Fax: (270) 796-3338
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $1,743.
Total Amount is formed as General ($1,743) + Research ($0) + Ownership ($0) = $1,743.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ATRICURE, INC. ($683).
Total Amount
$1,743
General + Research + Ownership
Payments
31
Total payment records
General Amount
$1,743
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $683 |
| Zimmer Biomet Holdings, Inc. | $671 |
| Medtronic, Inc. | $100 |
| W. L. Gore & Associates, Inc. | $96 |
| Intuitive Surgical, Inc. | $42 |
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: 2010-04-08
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 |
|---|---|---|---|---|
| I20100408000500 | I | Cardiac Surgery | KY | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 37 | 31 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 37 | 37 | $0 |
| 33518 | Coronary artery bypass using vein or artery graft, 2 grafts | 22 | 22 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 16 | $0 |
Insurance plans in this area (ZIP 42102)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| Internal Medicine | WI | |
| H O S P I T A L I S T | MD | |
| Nurse Practitioner | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Internal Medicine | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Internal Medicine | IN |
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