RAYMOND ERIC CARTER MD
NPI 1124167515
Pediatrics in Chadds Ford, PA

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
161 WILMINGTON W CHESTER PIKE, CHADDS FORD, PA 19317(610) 361-1060(610) 361-1055 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raymond Eric Carter Md NPPES

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

RAYMOND ERIC CARTER MD (NPI 1124167515) is an individual pediatrics provider in Chadds Ford, Pennsylvania, licensed in Pennsylvania (MD448936) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2003).

NPPES Registry Identity

NPI1124167515
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRAYMOND ERIC CARTERCredential: MD
Location Address161 WILMINGTON W CHESTER PIKEChadds Ford, PA 19317-9041
Mailing Address161 Wilmington W Chester PikeChadds Ford, PA 19317-9041 · (610) 361-1060 · Fax (610) 361-1055
Fax(610) 361-1055
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2003
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 31, 2014
NPI 1124167515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in PA · MD448936 Licensed in DE · C7-0004080
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License C7-0004080 (DE), MD448936 (PA)
161 WILMINGTON W CHESTER PIKE, Chadds Ford, PA 19317

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

Raymond Eric 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 ID840447199
PECOS Enrollment IDI20140220001613
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 12

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 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.
307 services201 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
162 services162 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.
94 services84 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
32 services32 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
32 services32 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19317 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers21 claims45 services$5.83 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$89.64 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 20

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

Internal Medicine (Cardiovascular Disease)
161 WILMINGTON W CHESTER PIKE
CHADDS FORD, PA 19317
Family Medicine
161 WILMINGTON W CHESTER PIKE
CHADDS FORD, PA 19317
Nuclear Medicine
161 WILMINGTON W CHESTER PIKE, CONCORD HEALTH CENTER
CHADDS FORD, PA 19317
Obstetrics & Gynecology
161 WILMINGTON W CHESTER PIKE
CHADDS FORD, PA 19317
Family Medicine (Sports Medicine)
161 WILMINGTON W CHESTER PIKE, CHRISTIANA CARE CONCORD HEALTH CENTER
CHADDS FORD, PA 19317
Psychologist (Clinical)
161 WILMINGTON W CHESTER PIKE, CHRISTIANA CARE CONCORD HEALTH CENTER
CHADDS FORD, PA 19317
Dietitian, Registered
161 WILMINGTON W CHESTER PIKE
CHADDS FORD, PA 19317
Nurse Practitioner
161 WILMINGTON W CHESTER PIKE
CHADDS FORD, PA 19317

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 Raymond Carter's NPI number?

The NPI number for Raymond Carter is 1124167515. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Raymond Carter located?

Raymond Carter practices at 161 Wilmington W Chester Pike, Chadds Ford, PA 19317. The listed phone number is (610) 361-1060.

What is Raymond Carter's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Raymond Carter enrolled in Medicare?

Yes. Raymond 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 Raymond Carter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Raymond 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 Raymond Carter was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.