DR. MICHAEL B CARTER MD
NPI 1174960025
Emergency Medicine in Fredericksburg, VA
About Dr. Michael B Carter Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL B CARTER MD (NPI 1174960025) is an individual emergency medicine provider in Fredericksburg, Virginia, licensed in Virginia (0101263900) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
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
Dr. Michael B Carter 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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, VA 23298
- Reassigned Medicare billing, Virginia enrollment
- 2,481 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.
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, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FREDERICKSBURG, VA 22407
FREDERICKSBURG, VA 22407
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 Michael Carter's NPI number?
The NPI number for Michael Carter is 1174960025. It was assigned to this individual provider in the NPPES registry on June 2, 2013.
Where is Michael Carter located?
Michael Carter practices at 1129 Heatherstone Dr, Fredericksburg, VA 22407. The listed phone number is (540) 785-8500.
What is Michael Carter's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Michael Carter enrolled in Medicare?
Yes. Michael 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 organization bills Medicare for Michael Carter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Carter reassigns Medicare benefits to Mcv Associated Physicians (Richmond, VA). The 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 Michael Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Carter accept?
Health plans from Oscar Health list Michael 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 Michael Carter affiliated with any hospitals?
According to CMS data, Michael Carter is affiliated with Medical College Of Virginia Hospitals.
When was this NPI record last updated?
The NPPES record for Michael Carter was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Dr. Michael B Carter, MD · NPI 1174960025
Emergency Medicine physician in Fredericksburg, Virginia. Individual provider, active in the CMS NPPES registry since June 2, 2013.
## Identity
- **NPI:** 1174960025 (Entity type: Individual)
- **Enumerated:** June 2, 2013
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 0101263900 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1129 HEATHERSTONE DR, Fredericksburg, VA 22407-4828
- **Phone:** (540) 785-8500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mcv Associated Physicians (NPI 1710959457, Richmond, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** November 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174960025) · Data from the CMS NPPES public registry.