ESTELLE W CARTER PA-C
NPI 1124202379
Family Medicine - Adult Medicine in Baltimore, MD

Active since December 24, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
29 S PACA ST, BALTIMORE, MD 21201(667) 214-1800 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Estelle W Carter Pa-c NPPES

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

ESTELLE W CARTER PA-C (NPI 1124202379) is an individual adult medicine provider in Baltimore, Maryland, licensed in Maryland (C0001427) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1124202379
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameESTELLE W CARTERCredential: PA-C
Location Address29 S PACA STBaltimore, MD 21201-1771
Mailing Address23 Millpond CtOwings Mills, MD 21117-1375 · (443) 629-0583
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateDecember 24, 2007
Last NPPES UpdateAugust 20, 2021
NPPES CertifiedAugust 20, 2021
NPI 1124202379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in MD · C0001427
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedPhysician AssistantTaxonomy 363A00000X · License C01427 (MD)
29 S PACA ST, Baltimore, MD 21201

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

Estelle W Carter Pa-c 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 ID3678633153
PECOS Enrollment IDI20081114000202
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 2

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.
71 services32 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
36 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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
13 suppliers33 claims79 services$6.41 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers24 claims31 services$1.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers16 claims16 services$174.28 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.

Student in an Organized Health Care Education/Training Program
29 S PACA ST
BALTIMORE, MD 21201
Family Medicine
29 S PACA ST, LOWER LEVEL
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
29 S PACA ST
BALTIMORE, MD 21201
Family Medicine
29 S PACA ST
BALTIMORE, MD 21201
Specialist
29 S PACA ST
BALTIMORE, MD 21201
Family Medicine
29 S PACA ST
BALTIMORE, MD 21201
Family Medicine
29 S PACA ST
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
29 S PACA ST
BALTIMORE, MD 21201

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 Estelle Carter's NPI number?

The NPI number for Estelle Carter is 1124202379. It was assigned to this individual provider in the NPPES registry on December 24, 2007.

Where is Estelle Carter located?

Estelle Carter practices at 29 S Paca St, Baltimore, MD 21201. The listed phone number is (667) 214-1800.

What is Estelle Carter's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Estelle Carter enrolled in Medicare?

Yes. Estelle 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 Estelle Carter was last updated on August 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.