MELVIN R CARTER MD
NPI 1043277833
Family Medicine in Hurricane, UT

Q: What is Melvin Carter's NPI number?

The NPI number for Melvin Carter is 1043277833. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Melvin Carter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melvin Carter was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment

11 S MAIN ST, HURRICANE, UT 84737(435) 635-9444(435) 635-8148 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Melvin R Carter Md NPPES

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

MELVIN R CARTER MD (NPI 1043277833) is an individual family medicine provider in Hurricane, Utah, licensed in Utah (1687361205) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St. George Regional Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1043277833

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMELVIN R CARTERCredential: MD

Location Address11 S MAIN STHurricane, UT 84737-1949

Mailing Address1055 N 500 WProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941

Phone(435) 635-9444

Fax(435) 635-8148

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateApril 27, 2006

Last NPPES UpdateApril 10, 2013

✔ NPI 1043277833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 1687361205

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.

11 S MAIN ST, Hurricane, UT 84737

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Other Identifiers 3

Medicare ID-Type Unspecified005578002UT

Other870470946005UT · Medicaid Rural

Medicare UPINA88471UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melvin R Carter Md 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.

PECOS PAC ID2860397460

PECOS Enrollment IDI20031222000768

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

131 services45 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

84 services41 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St. George Regional Hospital

Acute Care Hospitals · St George, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460021

Location1380 East Medical Center DriveSt George, UT 84790 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84737 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

6 suppliers11 claims26 services$6.84 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$837.54 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims720 services$6.34 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers13 claims780 services$0.82 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers13 claims13 services$26.10 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.

SOULEGRIA LLC

Clinic/Center (Adult Mental Health)

11 S MAIN ST
HURRICANE, UT 84737

Washington County (800) 792-0435

MS. LAURA LEE THOMAS NP-C

Nurse Practitioner (Family)

11 S MAIN ST
HURRICANE, UT 84737

Washington County (435) 635-9444

PHILIP CARTER PA-C

Physician Assistant

11 S MAIN ST
HURRICANE, UT 84737

Washington County (435) 635-9444

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 Melvin Carter's NPI number?

The NPI number for Melvin Carter is 1043277833. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Melvin Carter located?

Melvin Carter practices at 11 S Main St, Hurricane, UT 84737. The listed phone number is (435) 635-9444.

What is Melvin Carter's specialty?

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

Is Melvin Carter enrolled in Medicare?

Yes. Melvin Carter 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.

What insurance does Melvin Carter accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Melvin 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.

Is Melvin Carter affiliated with any hospitals?

According to CMS data, Melvin Carter is affiliated with St. George Regional Hospital.

When was this NPI record last updated?

The NPPES record for Melvin Carter was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.