CAITLIN CARTER DO
NPI 1205410511
Psychiatry & Neurology - Psychiatry in Madison, WI

Active since May 12, 2021PECOS Enrolled
301 TROY DR, MADISON, WI 53704(608) 301-1000 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Caitlin Carter Do NPPES

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

CAITLIN CARTER DO (NPI 1205410511) is an individual psychiatry provider in Madison, Wisconsin, licensed in Wisconsin (81847-21) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205410511
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameCAITLIN CARTERCredential: DO
Location Address301 TROY DRMadison, WI 53704-1521
Mailing Address8701 Watertown Plank RdMilwaukee, WI 53226-3548
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 12, 2021
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1205410511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in WI · 81847-21✔ Licensed in IL · 125077465
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
301 TROY DR, Madison, WI 53704

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caitlin Carter Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476955113
PECOS Enrollment IDI20260106002781
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 Reassignment

Medicare enrollment records show Caitlin Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric Hospital
34700 VALLEY RD
Oconomowoc, WI 53066
  • Reassigned Medicare billing, Wisconsin enrollment
  • 99 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53704 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 20

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

Psychiatry & Neurology (Psychiatry)
301 TROY DR
MADISON, WI 53704
Registered Nurse (Psychiatric/Mental Health)
301 TROY DR
MADISON, WI 53704
Psychologist (Forensic)
301 TROY DR
MADISON, WI 53704
Psychiatry & Neurology (Forensic Psychiatry)
301 TROY DR
MADISON, WI 53704
Social Worker (Clinical)
301 TROY DR, COTTAGE B
MADISON, WI 53704
Pharmacist
301 TROY DR
MADISON, WI 53704
Psychiatry & Neurology (Psychiatry)
301 TROY DR
MADISON, WI 53704
Psychologist
301 TROY DR
MADISON, WI 53704

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 Caitlin Carter's NPI number?

The NPI number for Caitlin Carter is 1205410511. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Where is Caitlin Carter located?

Caitlin Carter practices at 301 Troy Dr, Madison, WI 53704. The listed phone number is (608) 301-1000.

What is Caitlin Carter's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Caitlin Carter enrolled in Medicare?

Yes. Caitlin Carter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caitlin Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caitlin Carter reassigns Medicare benefits to Rogers Memorial Hospital Incorporated (Oconomowoc, WI). 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 Caitlin Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caitlin Carter accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Security Health Plan list Caitlin 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.

When was this NPI record last updated?

The NPPES record for Caitlin Carter was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.