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RAPHAEL A. CARTER M.D.
NPI 1043320583
Family Medicine in Seymour, IN

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
7830 PERSIMMON LAKE DR, SEYMOUR, IN 47274(812) 497-0660(812) 358-2446 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raphael A. Carter M.d. NPPES

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

RAPHAEL A. CARTER M.D. (NPI 1043320583) is an individual family medicine provider in Seymour, Indiana, licensed in Indiana (01044045A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Scott Memorial Health, and is a graduate of University Of Kentucky College Of Medicine (1992).

NPPES Registry Identity

NPI1043320583
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAPHAEL A. CARTERCredential: M.D.
Location Address7830 PERSIMMON LAKE DRSeymour, IN 47274-7926
Mailing Address7830 Persimmon Lake DrSeymour, IN 47274-7926 · (812) 497-0660 · Fax (812) 358-2446
Phone(812) 497-0660
Fax(812) 358-2446
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1992
Enumeration DateAugust 30, 2006
Last NPPES UpdateApril 27, 2015
✔ NPI 1043320583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01044045A
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 01044045A (IN)
7830 PERSIMMON LAKE DR, Seymour, IN 47274
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Other Identifiers 3

Medicaid200061980AIN
Medicare UPINF84006IN
Medicare ID-Type Unspecified381740BIN

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

Raphael A. Carter 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.

PECOS PAC ID4789717992
PECOS Enrollment IDI20100809000192
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
101 services95 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
61 services59 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
50 services47 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Scott Memorial Health

Critical Access Hospitals · Scottsburg, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number151334
Location1451 N Gardner StScottsburg, IN 47170 · Scott County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47274 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Raphael Carter's NPI number?

The NPI number for Raphael Carter is 1043320583. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Raphael Carter located?

Raphael Carter practices at 7830 Persimmon Lake Dr, Seymour, IN 47274. The listed phone number is (812) 497-0660.

What is Raphael Carter's specialty?

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

Is Raphael Carter enrolled in Medicare?

Yes. Raphael 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.

Is Raphael Carter affiliated with any hospitals?

According to CMS data, Raphael Carter is affiliated with Scott Memorial Health.

When was this NPI record last updated?

The NPPES record for Raphael Carter was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.