CARTER LOUIS CAPRA M.D.
NPI 1033559430
Internal Medicine - Hematology & Oncology in Birmingham, AL
About Carter Louis Capra M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARTER LOUIS CAPRA M.D. (NPI 1033559430) is an individual hematology & oncology provider in Birmingham, Alabama, licensed in Alabama (MD.37843) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jackson, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carter Louis Capra M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Carter Capra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Birmingham, AL 35209
- Reassigned Medicare billing, Alabama enrollment
- 47 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 30
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BIRMINGHAM, AL 35205
BIRMINGHAM, AL 35205
BIRMINGHAM, AL 35205
BIRMINGHAM, AL 35205
BIRMINGHAM, AL 35205
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 Carter Capra's NPI number?
The NPI number for Carter Capra is 1033559430. It was assigned to this individual provider in the NPPES registry on June 28, 2013.
Where is Carter Capra located?
Carter Capra practices at 2728 10th Ave S Ste 200, Birmingham, AL 35205. The listed phone number is (205) 939-7880.
What is Carter Capra's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Carter Capra enrolled in Medicare?
Yes. Carter Capra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Carter Capra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carter Capra reassigns Medicare benefits to Birmingham Hematology Oncology Assoc LLC (Birmingham, AL). The 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 Carter Capra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carter Capra accept?
Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Carter Capra 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 Carter Capra was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.