DR. TOM STEPHEN CARTER (M.D.) – Family Medicine Physician, NPI 1538165550

DR. TOM STEPHEN CARTER (M.D.) is a healthcare provider. based in Childress, Texas. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 18517 (OK). The NPI Number for DR. TOM STEPHEN CARTER (M.D.) is 1538165550

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. TOM STEPHEN CARTER (M.D.)
NPI
1538165550
Phone
(940) 937-3636
Address
1001 HWY 83 N
Enumeration Date
23 June 2005
Last Update Date
24 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
5803790855
Graduation Year
1987 (39 years ago)
PAC ID
7810081296
Group Practice PAC ID
3678879103
Professional Enrollment ID
I20081230000179

Contacts

Other Endpoint
https://myhealthaccess.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness95
Years active:20State licenses:2Other names

Provider Addresses for DR. TOM STEPHEN CARTER (M.D.)

  • 1001 HWY 83 N

    CHILDRESS, TX 792011030

    Phone: (940) 937-3636

    Fax: (940) 937-9644

    Type: Mailing

  • 1015 E BROADWAY ST STE 102

    ALTUS, OK 735215506

    Phone: (580) 480-1600

    Fax: (580) 480-1601

    Type: Location

  • 1001 Hwy 83 N

    Childress, TX 792011030

    Phone: (940) 937-3636

    Fax: (940) 937-9644

    Type: Location

  • 7905 Milwaukee Ave

    Lubbock, TX 794240616

    Phone: (806) 368-5837

    Fax: (806) 368-5852

    Type: Location

  • 10205 Quaker Ave

    Lubbock, TX 794248444

    Phone: (806) 368-8606

    Fax: (806) 701-4036

    Type: Location

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: 2007-09-15

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
I20070915000219IEmergency MedicineTXTBD

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 making6158$0
99284Emergency department visit with moderate level of medical decision making2525$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 79201)

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Provider's Procedures

DR. TOM STEPHEN CARTER (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINETX81002Urinalysis, manual test1211

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: 3678879103View full group profile
NameSpecialtyState
-OK

Reviews

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Frequently asked questions

Can I verify DR. TOM STEPHEN CARTER (M.D.) with an NPI only?
You can start verification with NPI 1538165550 for DR. TOM STEPHEN CARTER (M.D.), then check state licensing separately.
Does CMS list DR. TOM STEPHEN CARTER (M.D.) as active?
Yes — DR. TOM STEPHEN CARTER (M.D.) is active in the NPI listing used on this page.
What is DR. TOM STEPHEN CARTER (M.D.) best known for clinically?
Directory data describes DR. TOM STEPHEN CARTER (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. TOM STEPHEN CARTER (M.D.) serve?
DR. TOM STEPHEN CARTER (M.D.)'s listing highlights Childress, Texas; more addresses can appear in NPPES.
Why does DR. TOM STEPHEN CARTER (M.D.) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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