MR. BRIAN R CARTER MD
NPI 1073574208
Physical Medicine & Rehabilitation in Huntsville, AL

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
80.91/100
CMS Quality Rating
927 FRANKLIN ST, HUNTSVILLE, AL 35801(256) 539-2728(256) 428-3423 Get Directions Write a Review

NPPES record last updated: October 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Brian R Carter Md NPPES

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

MR. BRIAN R CARTER MD (NPI 1073574208) is an individual physical medicine & rehabilitation provider in Huntsville, Alabama, licensed in Alabama (24821) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1997).

NPPES Registry Identity

NPI1073574208
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameMR. BRIAN R CARTERCredential: MD
Location Address927 FRANKLIN STHuntsville, AL 35801
Mailing Address927 Franklin StHuntsville, AL 35801 · (256) 539-2728 · Fax (256) 428-3423
Fax(256) 428-3423
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1997
Enumeration DateMarch 29, 2006
Last NPPES UpdateOctober 1, 2009
NPI 1073574208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in AL · 24821
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
927 FRANKLIN ST, Huntsville, AL 35801

Other Identifiers 7

Medicare UPINH42187
Other7780287AL · Aetna
Other51511141AL · Bcbs
Other200044795AL · Railroad Medicare
Medicaid009900145AL
Other2310171AL · United Healthcare
Medicare PIN051552275

Accepted 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

Mr. Brian 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 ID6406928431
PECOS Enrollment IDI20080708000159
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 18

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.
400 services226 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.
261 services162 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
160 services21 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
115 services20 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
98 services74 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
95 services83 patients

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.

80.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality66.39
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Advance Care Plan
18%877 patients1/55-star benchmark: 100%
Breast Cancer Screening
0%328 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%301 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%656 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
0%342 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
0%22 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
98%2,914 patients4/55-star benchmark: 100%
e-Prescribing
99%2,983 patients4/55-star benchmark: 100%
Falls: Plan of Care
100%26 patients
Falls: Screening for Future Fall Risk
0%514 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
17%2,303 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 2% · 124 patients
Patients screened: 92% · 780 patients
99%74 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 27% · 1,757 patients
99%77 patients
Provide Patients Electronic Access to Their Health Information
98%1,360 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 514 patients
Patients totalRate: 10% · 514 patients
10%514 patients4/55-star benchmark: 100%
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.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier24 claims24 services$59.38 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 18

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

Physical Medicine & Rehabilitation (Pain Medicine)
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Orthopaedic Surgery (Sports Medicine)
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Orthopaedic Surgery
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Orthopaedic Surgery (Hand Surgery)
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Physician Assistant
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Physical Medicine & Rehabilitation
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Physician Assistant (Surgical)
927 FRANKLIN ST
HUNTSVILLE, AL 35801

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 Brian Carter's NPI number?

The NPI number for Brian Carter is 1073574208. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Brian Carter located?

Brian Carter practices at 927 Franklin St, Huntsville, AL 35801. The listed phone number is (256) 539-2728.

What is Brian Carter's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Brian Carter enrolled in Medicare?

Yes. Brian 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 Brian Carter accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 3 other insurers list Brian 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 Brian Carter was last updated on October 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.