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KENNETH O. CARTER M.D.
NPI 1073547543
Psychiatry & Neurology - Psychiatry in Bay Pines, FL

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
1000 BAY PINES BLVD., BAY PINES, FL 33744(727) 273-6828 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kenneth O. Carter M.d. NPPES

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

KENNETH O. CARTER M.D. (NPI 1073547543) is an individual psychiatry provider in Bay Pines, Florida, licensed in Florida (ME127103) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1073547543
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameKENNETH O. CARTERCredential: M.D.
Location Address1000 BAY PINES BLVD.Bay Pines, FL 33744
Mailing Address235 3rd Ave N Unit 551St Petersburg, FL 33701-3383 · (704) 953-8039
Phone(727) 273-6828
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 1, 2019
✔ NPI 1073547543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME127103
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1000 BAY PINES BLVD., Bay Pines, FL 33744
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Other Identifiers 3

MedicaidT32836SC
Medicaid1073547543NC
Medicaid89133JFNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.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

Kenneth O. 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 ID345374641
PECOS Enrollment IDI20161003000005
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 Reassignment

Medicare enrollment records show Kenneth Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harmony United Florida, LLC
87 mi
Psychiatry
15544 W COLONIAL DR
Winter Garden, FL 34787
  • Reassigned Medicare billing, Florida enrollment
  • 136 clinicians in this Medicare group
NPI 1063842870 (352) 431-3940

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 33744 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Kenneth Carter's NPI number?

The NPI number for Kenneth Carter is 1073547543. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Kenneth Carter located?

Kenneth Carter practices at 1000 Bay Pines Blvd., Bay Pines, FL 33744. The listed phone number is (727) 273-6828.

What is Kenneth Carter's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kenneth Carter enrolled in Medicare?

Yes. Kenneth 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.

Which organization bills Medicare for Kenneth Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Carter reassigns Medicare benefits to Harmony United Florida, LLC (Winter Garden, FL). 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 Kenneth Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Carter accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Kenneth 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 Kenneth Carter was last updated on August 1, 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.