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DR. STEWART REDDIN CARTER M.D.
NPI 1215164025
Surgery - Pediatric Surgery in Louisville, KY

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
411 E CHESTNUT ST FL 5, LOUISVILLE, KY 40202(502) 588-0390 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2021, Oct 13, 2020, Aug 12, 2020 and 1 more (4 updates tracked since 2016).

About Dr. Stewart Reddin Carter M.d. NPPES

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

DR. STEWART REDDIN CARTER M.D. (NPI 1215164025) is an individual pediatric surgery provider in Louisville, Kentucky, licensed in Kentucky (54426) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Louisville School Of Medicine (2009).

NPPES Registry Identity

NPI1215164025
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. STEWART REDDIN CARTERCredential: M.D.
Location Address411 E CHESTNUT ST FL 5Louisville, KY 40202-1713
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490
Phone(502) 588-0390
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2009
Enumeration DateJune 18, 2009
Last NPPES UpdateJanuary 7, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1215164025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in KY · 54426✔ Licensed in KY · TP321✔ Licensed in AL · 35124
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License 125055836 (IL), 54426 (KY)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 54426 (KY)
411 E CHESTNUT ST FL 5, Louisville, KY 40202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.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. Stewart Reddin 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 ID7911208780
PECOS Enrollment IDI20200824002940
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.

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

KRISTEN SCHORCH DNP, APRN, CPNP-AC
Nurse Practitioner (Pediatrics)
411 E CHESTNUT ST FL 5
LOUISVILLE, KY 40202
Jefferson County (502) 588-0390

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 Stewart Carter's NPI number?

The NPI number for Stewart Carter is 1215164025. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Stewart Carter located?

Stewart Carter practices at 411 E Chestnut St Fl 5, Louisville, KY 40202. The listed phone number is (502) 588-0390.

What is Stewart Carter's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Stewart Carter enrolled in Medicare?

Yes. Stewart 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 Stewart Carter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 1 other insurer list Stewart 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 Stewart Carter affiliated with any hospitals?

According to CMS data, Stewart Carter is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Stewart Carter was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.