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: October 25, 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, billing reassignment, and ordering and referring status from CMS.

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 IDI20210810003901
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.

Medicare Billing Reassignments

19

Medicare enrollment records show Carl Mickman reassigns Medicare billing to 19 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
100 RED CROSS PL
Bogalusa, LA 70427
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group
General Acute Care Hospital
HWY 1 HOSPITAL DR, BOX 497
Red Lake, MN 56671
  • Reassigned Medicare billing, Texas enrollment
  • 66 clinicians in this Medicare group
Emergency Medicine
1202 S TYLER ST
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 197 clinicians in this Medicare group
Emergency Medicine
95 E FAIRWAY DR
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 159 clinicians in this Medicare group
Emergency Medicine
8000 W JUDGE PEREZ DR
Chalmette, LA 70043
  • Reassigned Medicare billing, Louisiana enrollment
  • 82 clinicians in this Medicare group
Emergency Medicine
2000 CANAL ST
New Orleans, LA 70112
  • Reassigned Medicare billing, Louisiana enrollment
  • 98 clinicians in this Medicare group
Emergency Medicine
2700 NAPOLEON AVE
New Orleans, LA 70115
  • Reassigned Medicare billing, Louisiana enrollment
  • 240 clinicians in this Medicare group
Specialist
200 HENRY CLAY AVE
New Orleans, LA 70118
  • Reassigned Medicare billing, Louisiana enrollment
  • 220 clinicians in this Medicare group
Emergency Medicine
180 W ESPLANADE AVE
Kenner, LA 70065
  • Reassigned Medicare billing, Louisiana enrollment
  • 181 clinicians in this Medicare group
Emergency Medicine
500 RUE DE SANTE
La Place, LA 70068
  • Reassigned Medicare billing, Louisiana enrollment
  • 120 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 2

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

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.

Which organizations bill Medicare for Carl Mickman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Mickman reassigns Medicare benefits to 19 organizations: Ochsner Clinic LLC (Bogalusa, LA), Phs Indian Hospital (Red Lake, MN), St Tammany Emergency Physicians Group LLC (Covington, LA), Van Meter Emergency Physicians Inc. Apmc (Covington, LA), St. Bernard Emergency Group, LLC (Chalmette, LA) and 14 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Mickman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Mickman accept?

Health plans from CHRISTUS Health Plan, HMO Louisiana and UnitedHealthcare 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 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.