CARL TERENCE MICKMAN MD
NPI 1124445242
Emergency Medicine in New York, NY

Active since March 26, 2014PECOS EnrolledAccepts Medicare Assignment
1 GUSTAVE L LEVY PL, BOX 1149, NEW YORK, NY 10029(612) 618-7945 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carl Terence Mickman Md NPPES

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

CARL TERENCE MICKMAN MD (NPI 1124445242) is an individual emergency medicine provider in New York, New York, licensed in New York (294040) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and maintains a secondary practice location in Rome.

NPPES Registry Identity

NPI1124445242
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCARL TERENCE MICKMANCredential: MD
Location Address1 GUSTAVE L LEVY PL, BOX 1149New York, NY 10029-6504
Mailing Address1 Gustave L Levy Pl, Box 1149New York, NY 10029-6504 · (612) 618-7945
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2014
Enumeration DateMarch 26, 2014
Last NPPES UpdateJune 24, 2022
NPPES CertifiedJune 24, 2022
NPI 1124445242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in NY · 294040 Licensed in LA · 326621
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 GUSTAVE L LEVY PL, New York, NY 10029

Secondary Practice Location 1

Location 11500 N James StRome, NY 13440-2844 · Phone (315) 338-7035

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

Carl Terence Mickman 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 ID8729333133
PECOS Enrollment IDI20201117001983, I20210810003901
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

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services18 patients

Hospital Affiliations CMS Care Compare 3

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190060
Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County
Emergency services Birthing friendly

Lallie Kemp Medical Center

Critical Access Hospitals · Independence, LA
OwnershipGovernment - State
CMS Certification Number191321
Location52579 Highway 51 SouthIndependence, LA 70443 · Tangipahoa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

Dietitian, Registered
1 GUSTAVE L LEVY PL, BOX 1625
NEW YORK, NY 10029
Emergency Medicine
1 GUSTAVE L LEVY PL, BOX 1149
NEW YORK, NY 10029
General Acute Care Hospital
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Internal Medicine (Cardiovascular Disease)
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Physician Assistant
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Nurse Practitioner (Family)
1 GUSTAVE L LEVY PL, TRANSPLANT INST. DEPARTMENT BOX 1104
NEW YORK, NY 10029
Dietitian, Registered
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029

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 Carl Mickman's NPI number?

The NPI number for Carl Mickman is 1124445242. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Carl Mickman located?

Carl Mickman practices at 1 Gustave L Levy Pl Box 1149, New York, NY 10029. The listed phone number is (612) 618-7945.

What is Carl Mickman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carl Mickman enrolled in Medicare?

Yes. Carl Mickman 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 Carl Mickman accept?

Health plans from CHRISTUS Health Plan and HMO Louisiana list Carl Mickman 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 Carl Mickman affiliated with any hospitals?

According to CMS data, Carl Mickman is affiliated with University Medical Center New Orleans, Lake Charles Memorial Hospital and Lallie Kemp Medical Center.

When was this NPI record last updated?

The NPPES record for Carl Mickman was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.