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DR. JONATHAN TODD CARTER M.D.
NPI 1194854067
Surgery in San Francisco, CA

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
513 PARNASSUS AVE RM S-321, UCSF DEPARTMENT OF SURGERY, SAN FRANCISCO, CA 94143(415) 514-3891 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jonathan Todd Carter M.d. NPPES

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

DR. JONATHAN TODD CARTER M.D. (NPI 1194854067) is an individual surgery provider in San Francisco, California, licensed in California (A77227) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2000).

NPPES Registry Identity

NPI1194854067
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JONATHAN TODD CARTERCredential: M.D.
Location Address513 PARNASSUS AVE RM S-321, UCSF DEPARTMENT OF SURGERYSan Francisco, CA 94143-0470
Mailing Address1716 Lexington AveSan Mateo, CA 94402-4025 · (415) 577-4564
Phone(415) 514-3891
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2000
Enumeration DateMarch 5, 2007
Last NPPES UpdateDecember 26, 2012
✔ NPI 1194854067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A77227
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
513 PARNASSUS AVE RM S-321, San Francisco, CA 94143
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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. Jonathan Todd 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 ID244393809
PECOS Enrollment IDI20090108000594
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

3

Medicare enrollment records show Jonathan Carter reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ucsf Dept Of Surgery
Same address
Surgery
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 761 clinicians in this Medicare group
NPI 1477627537 (415) 353-2161
University Of California San Francisco
0.1 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
0.1 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808

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 7

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
77 services77 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.
19 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
14 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients
Creation of brain fluid drainage shunt, ventriculo-peritoneal, -pleural, other terminus 62223
This procedure involves placing a small tube, known as a shunt, from the brain to another part of the body. This helps drain excess fluid that can build up in the brain, reducing pressure and alleviating symptoms. The other end of the shunt can be placed in the abdomen, chest, or other suitable area.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

Other Providers at the Same Location NPPES

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

DR. ANTHONY ITALO SQUILLARO M.D.
Surgery
513 PARNASSUS AVE RM S-321
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-1239

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 Jonathan Carter's NPI number?

The NPI number for Jonathan Carter is 1194854067. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Jonathan Carter located?

Jonathan Carter practices at 513 Parnassus Ave Rm S-321 Ucsf Department Of Surgery, San Francisco, CA 94143. The listed phone number is (415) 514-3891.

What is Jonathan Carter's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jonathan Carter enrolled in Medicare?

Yes. Jonathan 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 Jonathan Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Carter reassigns Medicare benefits to 3 organizations: Ucsf Dept Of Surgery (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Jonathan Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Carter was last updated on December 26, 2012. 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.