DR. JOY PFANNSTIEL CARTER M.D.
NPI 1164631412
Obstetrics & Gynecology in Texas City, TX

Q: What is Joy Carter's NPI number?

The NPI number for Joy Carter is 1164631412. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Joy Carter's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Joy Carter was last updated on March 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment

81.57/100

CMS Quality Rating

1125 HIGHWAY 3 N, SUITE 130A, TEXAS CITY, TX 77591(409) 908-0134(409) 908-0210 Get Directions Write a Review

NPPES record last updated: March 25, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Joy Pfannstiel Carter M.d. NPPES

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

DR. JOY PFANNSTIEL CARTER M.D. (NPI 1164631412) is an individual obstetrics & gynecology provider in Texas City, Texas, licensed in Texas (P2607) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Texas Health Arlington Memorial Hospital, and is a graduate of University Of Texas Medical School At Houston (2007).

NPPES Registry Identity

NPI1164631412

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. JOY PFANNSTIEL CARTERCredential: M.D.

Location Address1125 HIGHWAY 3 N, SUITE 130ATexas City, TX 77591-4048

Mailing Address1125 Highway 3 N, Suite 130aTexas City, TX 77591-4048 · (409) 908-0134 · Fax (409) 908-0210

Phone(409) 908-0134

Fax(409) 908-0210

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2007

Enumeration DateMay 22, 2007

Last NPPES UpdateMarch 25, 2013

✔ NPI 1164631412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · P2607

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1125 HIGHWAY 3 N, Texas City, TX 77591

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Antidote Health of TX, Blue Cross and Blue Shield of Texas and more.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

Dr. Joy Pfannstiel Carter 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 ID6901055029

PECOS Enrollment IDI20121005000204

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

Medicare enrollment records show Joy Carter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unified Women's Healthcare Of Texas PLLC

53 mi

Obstetrics & Gynecology

15303 DALLAS PKWY STE 650
Addison, TX 75001

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Unified Womens Healthcare Of Texas PLLC
271 clinicians in this Medicare group

NPI 1952703373 (561) 300-2410

Obhg Texas Holdings, P.A.

137 mi

Obstetrics & Gynecology

12221 N MOPAC EXPY
Austin, TX 78758

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Obhg Texas Holdings PA
998 clinicians in this Medicare group

NPI 1083917769 (800) 967-2289

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Arlington Memorial Hospital

Acute Care Hospitals · Arlington, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450064

Location800 W Randol Mill RdArlington, TX 76012 · Tarrant County

Emergency services Birthing friendly

Medical City Arlington

Acute Care Hospitals · Arlington, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450675

Location3301 Matlock RoadArlington, TX 76015 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77591 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

$131.16 typical visit price

range $57.19 – $173.07

Typical copayment $32.79 (range $14.29 – $43.26)

Most-billed visit code 99204

Established Patient

$71.32 typical visit price

range $18.45 – $141.36

Typical copayment $17.83 (range $4.61 – $35.34)

Most-billed visit code 99213

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.

81.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.05

Promoting Interoperability

100

Improvement Activities

Cost

53.51

Reported Quality Measures

Breast Cancer Screening

74%257 patients4/55-star benchmark: 93%

Cervical Cancer Screening

88%1,331 patients4/55-star benchmark: 98%

e-Prescribing

98%375 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

26%1,335 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

34%3,201 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 1,413 patients

0%1,413 patients

Provide Patients Electronic Access to Their Health Information

98%540 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

ALBERT T. KOCUREK M.D., P.L.L.C.

Emergency Medicine (Undersea and Hyperbaric Medicine)

1125 HIGHWAY 3 N, SUITE 100
TEXAS CITY, TX 77591

Galveston County (409) 938-5766

DR. ALBERTO TERRAZAS KOCUREK M.D.

Emergency Medicine (Undersea and Hyperbaric Medicine)

1125 HIGHWAY 3 N, SUITE 100
TEXAS CITY, TX 77591

Galveston County (409) 938-5050

RICHARD TODD HUSBY M.D.

Emergency Medicine

1125 HIGHWAY 3 N, SUITE 100
TEXAS CITY, TX 77591

Galveston County (409) 938-5050

LISA ANN GINAPP

Nurse Practitioner (Acute Care)

1125 HIGHWAY 3 N, SUITE 100
TEXAS CITY, TX 77591

Galveston County (409) 938-5050

A WOMAN'S HEALTH OBSTETRICS AND GYNECOLOGY

Obstetrics & Gynecology

1125 HIGHWAY 3 N, SUITE 160
TEXAS CITY, TX 77591

Galveston County (409) 935-8702

CHCA MAINLAND, LP

Clinic/Center (Occupational Medicine)

1125 HIGHWAY 3 N, SUITE 180
TEXAS CITY, TX 77591

Galveston County (409) 938-5665

TEXAS ONCOLOGY PA

Internal Medicine (Medical Oncology)

1125 HIGHWAY 3 N, SUITE 150
TEXAS CITY, TX 77591

Galveston County (972) 997-8000

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 Joy Carter's NPI number?

The NPI number for Joy Carter is 1164631412. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Joy Carter located?

Joy Carter practices at 1125 Highway 3 N Suite 130A, Texas City, TX 77591. The listed phone number is (409) 908-0134.

What is Joy Carter's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Joy Carter enrolled in Medicare?

Yes. Joy 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.

Which organizations bill Medicare for Joy Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joy Carter reassigns Medicare benefits to 2 organizations: Unified Women's Healthcare Of Texas PLLC (Addison, TX) and Obhg Texas Holdings, P.A. (Austin, TX). 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 Joy Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joy Carter accept?

Health plans from Ambetter from Superior HealthPlan, Antidote Health of TX, Blue Cross and Blue Shield of Texas, Harbor Health and Molina Healthcare and 1 other insurer list Joy 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.

Is Joy Carter affiliated with any hospitals?

According to CMS data, Joy Carter is affiliated with Texas Health Arlington Memorial Hospital and Medical City Arlington.

When was this NPI record last updated?

The NPPES record for Joy Carter was last updated on March 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.