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WILLIAM EDGAR CARTER III M.D.
NPI 1154565562
Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine in Richmond, VA

Active since April 29, 2009PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
1250 E MARSHALL ST, PM&R: SPINAL CORD INJURY, RICHMOND, VA 23298(804) 828-4233(804) 828-5074 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About William Edgar Carter Iii M.d. NPPES

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

WILLIAM EDGAR CARTER III M.D. (NPI 1154565562) is an individual spinal cord injury medicine provider in Richmond, Virginia, licensed in Virginia (0101249365) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1154565562
Entity TypeIndividualMale
Primary Taxonomy2081P0004X
Provider Legal NameWILLIAM EDGAR CARTER IIICredential: M.D.
Location Address1250 E MARSHALL ST, PM&R: SPINAL CORD INJURYRichmond, VA 23298-5051
Mailing AddressPo Box 980661, Pmr: Spinal Cord InjuryRichmond, VA 23298-0661 · (804) 828-4233
Phone(804) 828-4233
Fax(804) 828-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 29, 2009
Last NPPES UpdateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1154565562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Spinal Cord Injury MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0004X
License✔ Licensed in VA · 0101249365
Definition
A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1250 E MARSHALL ST, Richmond, VA 23298
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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

William Edgar Carter Iii M.d. 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 ID8729226725
PECOS Enrollment IDI20140123001339
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,315 services312 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
124 services115 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
98 services94 patients
Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician 62370
This procedure involves a physician checking and adjusting your spinal canal drug infusion pump. The pump's programming is updated electronically and the medication reservoir is refilled, ensuring effective pain management and optimal device performance.
17 services14 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.
17 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

Referred Medical Equipment & Supplies CMS DME claims 16

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier20 claims20 services$42.20 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
2 suppliers11 claims11 services$10.31 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier11 claims11 services$16.07 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
5 suppliers38 claims38 services$63.23 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$39.30 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
3 suppliers14 claims14 services$14.88 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.

NEVIN YILMAZ MD
Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298
Richmond City (804) 828-9783
MS. RENEE D SEAMAN NP
Nurse Practitioner (Family)
1250 E MARSHALL ST, GENERAL MEDICINE
RICHMOND, VA 23298
Richmond City (804) 828-3144
DR. AIMEE COLLINS MD
Internal Medicine
1250 E MARSHALL ST, INTERNAL MEDICINE
RICHMOND, VA 23298
Richmond City (804) 828-3144
MRS. MARY ELIZABETH O'BOYLE WILLIS FNP
Nurse Practitioner (Family)
1250 E MARSHALL ST, DEPARTMENT OF PEDIATRICS
RICHMOND, VA 23298
Richmond City (804) 628-0189
DR. AMY SAMANTHA MAY PAUL M.D.
Internal Medicine (Geriatric Medicine)
1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/GERIATRIC MEDICINE
RICHMOND, VA 23298
Richmond City (804) 254-3500
MRS. ERICA STOREY CLINE PA-C
Physician Assistant
1250 E MARSHALL ST, EMERGENCY MEDICINE
RICHMOND, VA 23298
Richmond City (804) 828-0996
CYNTHIA CHENAULT AGACNP
Nurse Practitioner (Acute Care)
1250 E MARSHALL ST
RICHMOND, VA 23298
Richmond City (804) 628-3646
DR. TAYLOR LATIA ROACH MD
Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298
Richmond City (804) 628-7497

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 William Carter's NPI number?

The NPI number for William Carter is 1154565562. It was assigned to this individual provider in the NPPES registry on April 29, 2009.

Where is William Carter located?

William Carter practices at 1250 E Marshall St Pm&r: Spinal Cord Injury, Richmond, VA 23298. The listed phone number is (804) 828-4233.

What is William Carter's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Spinal Cord Injury Medicine, with taxonomy code 2081P0004X.

Is William Carter enrolled in Medicare?

Yes. William 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.

Is William Carter affiliated with any hospitals?

According to CMS data, William Carter is affiliated with Medical College Of Virginia Hospitals.

When was this NPI record last updated?

The NPPES record for William Carter was last updated on March 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.