DR. JOSHUA LEE CARTER MD
NPI 1073755617
Orthopaedic Surgery in Indianapolis, IN

Q: What is Joshua Carter's NPI number?

The NPI number for Joshua Carter is 1073755617. It was assigned to this individual provider in the NPPES registry on March 28, 2009.

Q: What is Joshua Carter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Carter was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 March 28, 2009PECOS EnrolledAccepts Medicare Assignment

31.73/100

CMS Quality Rating

6920 GATWICK DR, SUITE 200, INDIANAPOLIS, IN 46241(317) 455-1064 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2024, Nov 8, 2023, May 18, 2023 and 1 more (4 updates tracked since 2021).

On this page

About Dr. Joshua Lee Carter Md NPPES

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

DR. JOSHUA LEE CARTER MD (NPI 1073755617) is an individual orthopaedic surgery provider in Indianapolis, Indiana, licensed in Indiana (01075168A) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073755617

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JOSHUA LEE CARTERCredential: MD

Location Address6920 GATWICK DR, SUITE 200Indianapolis, IN 46241-9504

Mailing Address3600 W Bethel AveMuncie, IN 47304-5407

Phone(317) 455-1064

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2009

Enumeration DateMarch 28, 2009

Last NPPES UpdateSeptember 9, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2024

✔ NPI 1073755617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in IN · 01075168A✔ Licensed in NC · 2014-00108

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

6920 GATWICK DR, Indianapolis, IN 46241

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1541 S Landmark AveBloomington, IN 47403-3239 · Phone (317) 455-1064

Location 23051 S US Highway 41Terre Haute, IN 47802-3791 · Phone (317) 455-1064

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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

Dr. Joshua Lee 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 ID5395962849

PECOS Enrollment IDI20150618000928

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 16

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

265 services235 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

264 services225 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

232 services160 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

133 services108 patients

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.

121 services107 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

94 services79 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

88 services82 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

85 services85 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.

68 services67 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

65 services65 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

65 services65 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

58 services52 patients

Application of stress by physician for joint imaging 77071

This procedure involves a doctor applying pressure to your joint while capturing images. The stress helps reveal issues not visible in a relaxed state. It's like a workout for your joints under professional supervision. It's safe and aids in accurate diagnosis.

36 services36 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

31 services25 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

20 services20 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150051

Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County

Emergency services Birthing friendly

Franciscan Health Mooresville

Acute Care Hospitals · Mooresville, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150057

Location1201 Hadley RdMooresville, IN 46158 · Morgan County

Emergency services Birthing friendly

Daviess Community Hospital

Acute Care Hospitals · Washington, IN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150061

Location1314 E Walnut StWashington, IN 47501 · Daviess County

Emergency services Birthing friendly

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150112

Location2400 E 17th StColumbus, IN 47201 · Bartholomew County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46241 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

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

31.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

4.34

Improvement Activities

Cost

100

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.03%

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 2

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

Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment L1686

DME-Orthotic Devices · category DF000N

1 supplier84 claims84 services$780.29 avg. paid by Medicare

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833

DME-Orthotic Devices · category DF011N

2 suppliers87 claims87 services$376.01 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 11

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

DR. WESLEY GRAYSON LACKEY M.D.

Orthopaedic Surgery

6920 GATWICK DR, SUITE 200
INDIANAPOLIS, IN 46241

Marion County (317) 455-1064

ADAM MICHAEL MCCORMICK PA

Physician Assistant

6920 GATWICK DR, SUITE 200
INDIANAPOLIS, IN 46241

Marion County (317) 455-1064

LAUREN C STOKES PA

Physician Assistant

6920 GATWICK DR, SUITE 200
INDIANAPOLIS, IN 46241

Marion County (317) 455-1064

DR. RICHARD WAYNE JACKSON M.D.

Orthopaedic Surgery

6920 GATWICK DR, STE 200
INDIANAPOLIS, IN 46241

Marion County (317) 455-1064

MRS. VICTORIA LOUISE CRAWLEY MSPT

Physical Therapist

6920 GATWICK DR, STE 120
INDIANAPOLIS, IN 46241

Marion County (317) 856-1162

CENTRAL INDIANA ORTHOPEDICS, LLC

Orthopaedic Surgery

6920 GATWICK DR, STE 200
INDIANAPOLIS, IN 46241

Marion County (317) 455-1064

SHARON CRANE N.P.

Nurse Practitioner

6920 GATWICK DR, SUITE 100
INDIANAPOLIS, IN 46241

Marion County (317) 856-2945

ROBERT CHAMBERLAIN P.T.

Physical Therapy Assistant

6920 GATWICK DR, SUITE 100
INDIANAPOLIS, IN 46241

Marion County (615) 778-4066

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 Joshua Carter's NPI number?

The NPI number for Joshua Carter is 1073755617. It was assigned to this individual provider in the NPPES registry on March 28, 2009.

Where is Joshua Carter located?

Joshua Carter practices at 6920 Gatwick Dr Suite 200, Indianapolis, IN 46241. The listed phone number is (317) 455-1064.

What is Joshua Carter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Joshua Carter enrolled in Medicare?

Yes. Joshua 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 Joshua Carter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Joshua 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 Joshua Carter affiliated with any hospitals?

According to CMS data, Joshua Carter is affiliated with Indiana University Health Bloomington Hospital, Franciscan Health Mooresville, Daviess Community Hospital and Columbus Regional Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Carter was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.