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DR. STEPHEN L CARTER MD
NPI 1063478733
Surgery in Chambersburg, PA

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
757 NORLAND AVE, SUITE 208, CHAMBERSBURG, PA 17201(717) 217-6986(717) 217-6885 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stephen L Carter Md NPPES

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

DR. STEPHEN L CARTER MD (NPI 1063478733) is an individual surgery provider in Chambersburg, Pennsylvania, licensed in Pennsylvania (MD049087L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1990).

NPPES Registry Identity

NPI1063478733
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. STEPHEN L CARTERCredential: MD
Location Address757 NORLAND AVE, SUITE 208Chambersburg, PA 17201-4230
Mailing Address785 5th Ave, Suite 3Chambersburg, PA 17201-4232 · (717) 263-9555 · Fax (717) 217-2417
Phone(717) 217-6986
Fax(717) 217-6885
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1990
Enumeration DateApril 21, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1063478733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD049087L
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
757 NORLAND AVE, Chambersburg, PA 17201
Open in Google Maps ↗

Other Identifiers 24

Other25-1716306PA · Multiplan/phcs
Other266530PA · Unison
Other6794019PA · Aetna Hmo
Other1580736PA · Gateway
Other451372PA · United Health Care (mamsi)
Other1167382PA · United Health Care (mamsi)
Other25-1716306PA · Informed
Other472812PA · Highmark Blue Shield
Other1871653519PA · Health America
OtherG920-0114/KDM4CUPA · Carefirst
Other25-1716306PA · South Central Preferred
Other5764238PA · Aetna Non-hmo
Medicaid001764851 0003PA
Other25-1716306PA · Healthnet/tricare
OtherMD049087LPA · License
Other1167382PA · Mamsi
Other25-1716306PA · First Health
Other25-1716306PA · Devon
Other25-1716306PA · Intergroup
Other25-1716306PA · Greatwest
Other5001081PA · Capital Bluecross
Other120420407PA · Dept Of Labor
Other867633PA · Medicare Group #
OtherP00700653PA · Railroad Medicare

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

Dr. Stephen L 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 ID6305944166
PECOS Enrollment IDI20070604000030, I20170817000205
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 8

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
83 services66 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
71 services37 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
43 services20 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
40 services21 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
35 services14 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
30 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17201 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%223 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
64%345 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
65%345 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
23%345 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
36%345 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier15 claims1,568 services$0.38 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 16

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

MR. DONALD GARY SWIGART RVT
Radiologic Technologist (Vascular Sonography)
757 NORLAND AVE, SUITE 104
CHAMBERSBURG, PA 17201
Franklin County (717) 217-6800
MRS. PATRICIA A. CAREY PHD, RD, LDN
Dietitian, Registered
757 NORLAND AVE, SUITE 204
CHAMBERSBURG, PA 17201
Franklin County (717) 217-6820
MS. LOUISE M. JOHNSTON M.S., R.D., LDN
Dietitian, Registered
757 NORLAND AVE, SUITE 104
CHAMBERSBURG, PA 17201
Franklin County (717) 217-6800
BARBARA K DROMAZOS RD, LDN
Dietitian, Registered
757 NORLAND AVE, SUITE 204
CHAMBERSBURG, PA 17201
Franklin County (717) 217-6820
DR. WAYNE G MYERS PHARM.D.
Pharmacist
757 NORLAND AVE, SUITE 105
CHAMBERSBURG, PA 17201
Franklin County (717) 217-6790
CUMBERLAND VALLEY SPECIALTY SERVICES
Surgery
757 NORLAND AVE, SUITE 104
CHAMBERSBURG, PA 17201
Franklin County (717) 217-6970
HEATHER M MCNEW RD, LDN
Dietitian, Registered
757 NORLAND AVE, SUITE 210
CHAMBERSBURG, PA 17201
Franklin County (717) 217-6820
MS. SUSAN SOPER PAPE R.N.
Registered Nurse (Rehabilitation)
757 NORLAND AVE
CHAMBERSBURG, PA 17201
Franklin County (717) 217-6824

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 Stephen Carter's NPI number?

The NPI number for Stephen Carter is 1063478733. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Stephen Carter located?

Stephen Carter practices at 757 Norland Ave Suite 208, Chambersburg, PA 17201. The listed phone number is (717) 217-6986.

What is Stephen Carter's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Stephen Carter enrolled in Medicare?

Yes. Stephen 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.

When was this NPI record last updated?

The NPPES record for Stephen Carter was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.