1. Home
  2. Directory
  3. Minnesota
  4. Granite Falls
  5. Family Medicine
  6. NPI Profile

DR. DARRELL L CARTER MD
NPI 1013976794
Family Medicine in Granite Falls, MN

Active since March 21, 2006PECOS Enrolled
94/100
CMS Quality Rating
295 10TH AVE, GRANITE FALLS, MN 56241(320) 564-2511(320) 564-2511 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Darrell L Carter Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DARRELL L CARTER MD (NPI 1013976794) is an individual family medicine provider in Granite Falls, Minnesota, licensed in Minnesota (20225) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013976794
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DARRELL L CARTERCredential: MD
Location Address295 10TH AVEGranite Falls, MN 56241-1456
Mailing Address295 10th AveGranite Falls, MN 56241-1456 · (320) 564-2511 · Fax (320) 564-4180
Phone(320) 564-2511
Fax(320) 564-2511
Sole ProprietorNo
Enumeration DateMarch 21, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1013976794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 20225
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
295 10TH AVE, Granite Falls, MN 56241
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Darrell L Carter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Darrell Carter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Granite Falls
Same address
Critical Access
345 10TH AVE
Granite Falls, MN 56241
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1700429644 (Minnesota)
  • 66 clinicians in this Medicare group
NPI 1700429610 (320) 564-3111
Avera Marshall
26 mi
Optometrist
878 6TH ST
Dawson, MN 56232
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1568401016 (Minnesota)
  • 260 clinicians in this Medicare group
NPI 1396513370 (320) 769-2977

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56241 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability98.22
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims29 services$5.67 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$119.49 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$38.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK WENDELL EAKES M.D.
Family Medicine
295 10TH AVE
GRANITE FALLS, MN 56241
Yellow Medicine County (320) 564-2511
DR. ARTHUR J RILLO MD
Family Medicine
295 10TH AVE
GRANITE FALLS, MN 56241
Yellow Medicine County (320) 564-2511
JAMES NEDRUD PA-C
Physician Assistant
295 10TH AVE
GRANITE FALLS, MN 56241
Yellow Medicine County (320) 564-2511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Darrell Carter's NPI number?

The NPI number for Darrell Carter is 1013976794. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Darrell Carter located?

Darrell Carter practices at 295 10th Ave, Granite Falls, MN 56241. The listed phone number is (320) 564-2511.

What is Darrell Carter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Darrell Carter enrolled in Medicare?

Yes. Darrell Carter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Darrell Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darrell Carter reassigns Medicare benefits to 2 organizations: Avera Granite Falls (Granite Falls, MN) and Avera Marshall (Dawson, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Darrell Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Darrell Carter accept?

Health plans from Avera Health Plans list Darrell Carter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Darrell Carter was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.