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DR. LEE MARVIN CARTER M. D.
NPI 1194774802
Family Medicine in Huntingdon, TN

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
54.61/100
CMS Quality Rating
641 RB WILSON DR, SUITE F, HUNTINGDON, TN 38344(731) 986-7305(731) 986-7254 Get Directions Write a Review

NPPES record last updated: February 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lee Marvin Carter M. D. NPPES

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

DR. LEE MARVIN CARTER M. D. (NPI 1194774802) is an individual family medicine provider in Huntingdon, Tennessee, licensed in Tennessee (023858) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1997).

NPPES Registry Identity

NPI1194774802
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LEE MARVIN CARTERCredential: M. D.
Location Address641 RB WILSON DR, SUITE FHuntingdon, TN 38344-1733
Mailing Address641 Rb Wilson Dr, Suite FHuntingdon, TN 38344-1733 · (731) 986-7305 · Fax (731) 986-7254
Phone(731) 986-7305
Fax(731) 986-7254
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1997
Enumeration DateMay 9, 2006
Last NPPES UpdateFebruary 5, 2015
✔ NPI 1194774802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 023858
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
641 RB WILSON DR, Huntingdon, TN 38344
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Other Identifiers 2

Medicare UPINF45817TN
Medicare ID-Type Unspecified3072105TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., Oscar Insurance Company.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

Dr. Lee Marvin 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 ID6901859354
PECOS Enrollment IDI20050224001017
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 8

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.
434 services206 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
235 services220 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.
219 services186 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
210 services186 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
63 services38 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.
44 services44 patients

Hospital Affiliations CMS Care Compare 3

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Baptist Memorial Hospital - Carroll County

Acute Care Hospitals · Huntingdon, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440016
Location631 Rb Wilson DrHuntingdon, TN 38344 · Carroll County
Emergency services

Baptist Memorial Hospital Union City

Acute Care Hospitals · Union City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440130
Location1201 Bishop St, PO Box 310Union City, TN 38261 · Obion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38344 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

54.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality28.33
Improvement Activities40
Cost59.87

Reported Quality Measures

Advance Care Plan
100%432 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%691 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$7.15 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims5,412 services$0.85 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier11 claims11 services$58.61 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
1 supplier18 claims18 services$54.06 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 suppliers144 claims145 services$19.19 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers25 claims25 services$48.48 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 5

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

LEE MARVIN CARTER
Family Medicine
641 RB WILSON DR
HUNTINGDON, TN 38344
Carroll County (731) 986-7305
BAPTIST MEMORIAL HOSPITAL-HUNTINGDON
Clinic/Center (Rural Health)
641 RB WILSON DR
HUNTINGDON, TN 38344
Carroll County (731) 986-4461
RAFAEL MARIO SANCHEZ DO
Family Medicine
641 RB WILSON DR, SUITE G
HUNTINGDON, TN 38344
Carroll County (731) 986-7400
JAMES STEVEN WILLIAMSON M.D.
Family Medicine
641 RB WILSON DR, SUITE G
HUNTINGDON, TN 38344
Carroll County (731) 986-7400
JILL A. BENNETT APRN
Nurse Practitioner (Family)
641 RB WILSON DR, SUITE G
HUNTINGDON, TN 38344
Carroll County (731) 986-7400

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 Lee Carter's NPI number?

The NPI number for Lee Carter is 1194774802. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Lee Carter located?

Lee Carter practices at 641 Rb Wilson Dr Suite F, Huntingdon, TN 38344. The listed phone number is (731) 986-7305.

What is Lee Carter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lee Carter enrolled in Medicare?

Yes. Lee 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.

What insurance does Lee Carter accept?

Health plans from Oscar Health Plan, Inc. and Oscar Insurance Company list Lee 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 Lee Carter affiliated with any hospitals?

According to CMS data, Lee Carter is affiliated with Jackson-Madison County General Hospital, Baptist Memorial Hospital - Carroll County and Baptist Memorial Hospital Union City.

When was this NPI record last updated?

The NPPES record for Lee Carter was last updated on February 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.