JAMES ELLIOT CARTER MD
NPI 1215988696
Pathology - Anatomic Pathology & Clinical Pathology in Mobile, AL

Q: What is James Carter's NPI number?

The NPI number for James Carter is 1215988696. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is James Carter's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for James Carter was last updated on January 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment

96.56/100

CMS Quality Rating

2451 UNIVERSITY HOSPITAL DR FL 1, MOBILE, AL 36617(251) 471-7790(251) 471-7715 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About James Elliot Carter Md NPPES

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

JAMES ELLIOT CARTER MD (NPI 1215988696) is an individual anatomic pathology & clinical pathology provider in Mobile, Alabama, licensed in Alabama (20655) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (1995).

NPPES Registry Identity

NPI1215988696

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameJAMES ELLIOT CARTERCredential: MD

Location Address2451 UNIVERSITY HOSPITAL DR FL 1Mobile, AL 36617-2300

Mailing AddressPo Box 40480Mobile, AL 36640-0480 · (251) 434-3626 · Fax (251) 445-2464

Phone(251) 471-7790

Fax(251) 471-7715

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1995

Enumeration DateMay 12, 2006

Last NPPES UpdateJanuary 14, 2021

NPPES CertifiedJanuary 14, 2021

✔ NPI 1215988696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in AL · 20655

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

2451 UNIVERSITY HOSPITAL DR FL 1, Mobile, AL 36617

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Other Identifiers 7

Other11-10366AL · United Healthcare

Other51009446AL · Bcbs Fillingim

Medicaid260969000FL

Medicaid00121911MS

Medicaid1428591LA

Medicaid009927750AL

Other51098930AL · Bcbs Center St

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Health Plan, Inc..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

James Elliot 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.

PECOS PAC ID9234239666

PECOS Enrollment IDI20070713000285

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 75

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

1,632 services1,258 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

1,302 services1,090 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

1,067 services929 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

1,031 services904 patients

Bacterial urine culture 87088

A bacterial urine culture is a laboratory test that checks for bacteria in your urine. It helps identify the type of bacteria causing an infection, enabling the selection of the most effective treatment. The test involves collecting a urine sample in a sterile container.

742 services521 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

652 services551 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

427 services325 patients

Iron level 83540

An iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.

352 services267 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

347 services297 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

331 services244 patients

Iron binding capacity 83550

Iron binding capacity is a blood test that measures how well your body can bind and transport iron. This helps your healthcare provider assess if your body has too little or too much iron, which can indicate certain health conditions.

283 services226 patients

Bacterial culture for aerobic isolates 87077

A bacterial culture for aerobic isolates is a lab test that helps identify bacteria that thrive in oxygen-rich environments. A sample from the suspected infection site is collected, then placed in a special medium that promotes bacterial growth. After a set period, the lab identifies any bacteria present, aiding in accurate diagnosis and treatment.

283 services210 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

268 services236 patients

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution 87186

This process checks how well certain drugs, like antibiotics, can fight against infections. It involves mixing the drug with a microbe (like bacteria or a virus) in a lab. By observing how the microbe reacts, it helps determine the best drug to treat your infection.

263 services193 patients

Parathormone (parathyroid hormone) level 83970

The Parathormone level test measures the amount of parathyroid hormone in your blood. This hormone controls calcium and phosphorus levels in the body, which are vital for bone health. Abnormal levels may indicate issues like kidney disease or parathyroid gland disorders.

234 services190 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

163 services158 patients

Folic acid level, serum 82746

A Folic Acid Level, Serum test measures the amount of folic acid, a type of B vitamin, in your blood. This vitamin is important for cell growth and development. It's crucial for your body to function well. If your levels are low, it may indicate a deficiency, which can lead to health issues.

159 services146 patients

Thyroid hormone, t3 measurement, free 84481

The T3 measurement, free, is a blood test that checks the level of a hormone called triiodothyronine. This hormone is produced by your thyroid, a small gland in your neck. It plays a key role in regulating your body's metabolism and energy use.

150 services105 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

139 services122 patients

Gammaglobulin (immune system protein) measurement 82784

Gammaglobulin measurement is a blood test that checks the levels of certain proteins (gammaglobulins) that the body uses to fight infections. High or low levels can indicate various health conditions. It's a simple, quick procedure with minimal discomfort.

113 services40 patients

Thyroid hormone, t3 measurement, total 84480

The T3 Total Test measures the amount of thyroid hormone T3 in your blood. This hormone, produced by the thyroid gland, is crucial for body's metabolism and energy production. Abnormal levels may indicate a thyroid disorder.

109 services84 patients

Hepatitis c antibody measurement 86803

Hepatitis C antibody measurement is a blood test to check if you have been exposed to the Hepatitis C virus. This virus affects your liver. If the test is positive, it means you have had the virus at some point. Additional tests are needed to determine if the virus is currently active.

108 services108 patients

Rheumatoid factor analysis 86430

Rheumatoid factor analysis is a blood test utilized to help diagnose rheumatoid arthritis, an autoimmune disorder causing joint inflammation. It detects the presence of rheumatoid factor, an antibody often found in those with the condition.

98 services96 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

96 services87 patients

Phosphate level 84100

A phosphate level test measures the amount of phosphate in your blood. Phosphate is a chemical that contains the mineral phosphorus, crucial for energy production, muscle and nerve function, and bone growth. Imbalances may indicate kidney disease or other health issues.

83 services74 patients

Tuberculosis test, gamma interferon 86480

A gamma interferon tuberculosis test is a blood test used to diagnose tuberculosis, a serious lung disease. The test measures your immune system's response to TB bacteria. It's a safe, straightforward procedure that can help ensure your health.

72 services71 patients

Red blood cell sedimentation rate, to detect inflammation, non-automated 85651

The Red Blood Cell Sedimentation Rate test measures how quickly red blood cells settle at the bottom of a test tube. If they settle faster than normal, it may indicate inflammation in the body. This test is non-automated, meaning it's manually performed by a lab technician.

67 services64 patients

Detection test by immunoassay technique for hepatitis b surface antigen 87340

This test helps identify the presence of hepatitis B in your body. It uses an immunoassay technique, which is a highly sensitive method that detects the hepatitis B surface antigen, a protein on the virus. This test can help diagnose an active infection or determine if you're a carrier.

67 services67 patients

Measurement c-reactive protein for detection of infection or inflammation 86140

C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.

64 services62 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

55 services50 patients

Hepatitis b core antibody measurement 86704

Hepatitis B core antibody measurement is a test conducted to determine if you have been infected with the Hepatitis B virus in the past. It involves taking a blood sample and analyzing it in a lab. This test aids in diagnosing and managing Hepatitis B infections.

46 services46 patients

Hepatitis b surface antibody measurement 86706

Hepatitis B surface antibody measurement is a blood test done to check if your body has developed immunity against the Hepatitis B virus. It's typically done after vaccination or to confirm recovery from a past infection. It's a simple, safe procedure.

45 services45 patients

Red blood count automated, with additional calculations 85046

An automated red blood cell count is a laboratory test that counts the number of red blood cells in your blood. This test also includes additional calculations to measure the size, volume, and hemoglobin concentration of these cells. It helps to identify any abnormalities in your blood.

42 services37 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

41 services35 patients

Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies 87389

This is a test that checks for proteins (antigens) of HIV-1 and antibodies to both HIV-1 and HIV-2 in your blood. These elements appear when your body responds to the HIV virus. It's a vital method for early HIV detection and helps manage your health.

41 services41 patients

Detection test by immunoassay technique for cryptosporidium (parasite) 87328

A detection test using an immunoassay technique for cryptosporidium helps identify this parasite in your body. It involves analyzing a stool sample with a special test kit. This helps in diagnosing infections that can cause stomach discomfort and diarrhea.

40 services40 patients

Syphilis detection test 86592

A Syphilis detection test is a simple blood test that helps identify if a person has been exposed to the bacteria causing Syphilis. This bacteria can cause various health issues if not treated. The test is important for maintaining overall health and well-being.

38 services38 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

38 services27 patients

Prealbumin (protein) level 84134

A Prealbumin (protein) level test measures the amount of prealbumin in your blood. Prealbumin is a protein made by your liver and helps carry vitamins and hormones through your body. Low levels could indicate malnutrition, liver disease, or other health issues.

37 services35 patients

Stool culture 87045

A stool culture is a laboratory test that checks for harmful bacteria or other organisms in your digestive tract. The test involves providing a stool sample. It helps identify infections that may cause problems like diarrhea or stomach pain.

37 services36 patients

Detection test by immunoassay with direct visual observation for other organism 87899

This is a type of detection test that uses a method called immunoassay to identify specific organisms in your body. The process involves a reaction between an antibody and the organism, which is then observed directly to confirm its presence.

37 services36 patients

Kidney function blood test panel 80069

A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.

36 services32 patients

Detection test by immunoassay technique for giardia (intestinal parasite) 87329

A detection test by immunoassay technique for giardia is a diagnostic procedure to identify an intestinal parasite, giardia. This test uses a special method that detects specific proteins (antigens) of the giardia parasite in stool samples. It helps in diagnosing giardia infections and guiding effective treatment.

36 services36 patients

Detection test by immunoassay technique for other organism 87449

An immunoassay detection test is a diagnostic tool used to identify specific organisms in your body. It works by using antibodies that can recognize and bind to these organisms. The test is highly sensitive and can help determine if you have been exposed to certain diseases.

36 services34 patients

Creatine kinase (cardiac enzyme) level, total 82550

The total Creatine Kinase (CK) level test is a blood test that helps assess the health of your heart. It measures an enzyme called CK that's released into the bloodstream when heart or other muscle tissue is damaged. High levels may indicate a heart attack or muscle disorder.

35 services31 patients

Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen) 87324

This test checks for Clostridium difficile toxins in your stool. It uses an immunoassay technique, which identifies harmful substances that might cause illness. The test helps diagnose infections that can lead to severe diarrhea or more serious intestinal conditions.

34 services32 patients

Cortisol (hormone) measurement, total 82533

Cortisol measurement is a test that checks the level of cortisol, a hormone, in your body. It's often used to assess stress levels or check for conditions like Addison's disease or Cushing's syndrome. This involves a simple blood or saliva sample.

33 services25 patients

Total protein level, urine 84156

The Total Protein Level in urine test measures the amount of protein present in your urine. This helps to check kidney health as high levels may indicate a problem. It's a simple, non-invasive procedure involving a urine sample.

32 services29 patients

Smear for parasites 87177

A smear for parasites is a diagnostic test where a small sample of your stool is taken. The sample is then examined under a microscope to check for the presence of parasites or their eggs. It helps in identifying any parasitic infections that might be causing your symptoms.

32 services32 patients

Special stain for parasites 87209

A special stain for parasites is a lab procedure that helps identify parasites in your body. It involves applying specific dyes to a sample, usually stool or blood. These dyes make parasites easier to spot under a microscope, aiding in diagnosis and treatment planning.

32 services32 patients

Detection test by immunoassay technique for shiga-like toxin (bacterial toxin) 87427

A detection test using the immunoassay technique for Shiga-like toxin helps identify harmful bacteria in your body. It uses your body's immune response to detect the presence of these toxins. This test is crucial in diagnosing certain bacterial infections.

32 services31 patients

Special gram or giemsa stain for microorganism 87205

A special Gram or Giemsa stain is a laboratory technique used to identify microorganisms in a sample. This stain highlights the microorganisms, making them easier to see under a microscope. It's a crucial step in diagnosing various infections and diseases.

31 services27 patients

Bacterial culture, any other source except urine, blood or stool, aerobic 87070

A bacterial culture is a test that helps identify harmful bacteria in your body. In this case, a sample from any part other than urine, blood or stool is collected. The sample is placed in a special environment to promote bacteria growth. It helps in diagnosing infections and determining the best treatment.

30 services26 patients

Lactate dehydrogenase (enzyme) level 83615

A Lactate Dehydrogenase level test measures the amount of this enzyme in your body. It's often done when tissue damage is suspected, as high levels can indicate issues like heart disease, lung disease, liver disease, or blood disorders. This test helps in diagnosing and monitoring these conditions.

28 services12 patients

Ferritin (blood protein) level 82728

A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.

26 services24 patients

Glutamyltransferase (liver enzyme) level 82977

Glutamyltransferase (GGT) level is a blood test that helps check your liver's health. High GGT levels may indicate liver disease or damage. The test involves a simple blood draw and results help your doctor understand your liver's condition better.

25 services22 patients

Magnesium level 83735

A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.

23 services19 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

23 services22 patients

Liver function blood test panel 80076

A liver function blood test panel helps check the health of your liver. It measures various proteins, liver enzymes, and bilirubin in your blood. If these levels are too high or too low, it could signal a liver problem. It's a simple, non-invasive test that involves drawing blood.

22 services21 patients

Albumin (protein) level 82040

The Albumin Level test measures the amount of albumin, a vital protein made by the liver, in your blood. This protein helps keep fluid in your bloodstream so it doesn't leak into other tissues. It's also vital for tissue growth and healing. Low or high levels can indicate certain health issues.

21 services17 patients

Prolactin (milk producing hormone) level 84146

A prolactin level test measures the amount of a hormone, prolactin, in your blood. This hormone plays a role in many bodily functions, such as the creation of milk. High or low levels can indicate certain health conditions. The test involves a simple blood draw.

19 services17 patients

Detection test by nucleic acid for human papillomavirus (hpv), high-risk types 87624

This test detects high-risk types of HPV, a common virus. It's done by analyzing a small sample of cells for the presence of HPV DNA. The aim is to identify any high-risk types early, as they may increase the risk of certain health issues.

19 services19 patients

Screening test for pathogenic organisms 87081

A screening test for pathogenic organisms is a routine check-up procedure. It helps to identify harmful microorganisms in your body that can cause diseases. This involves collecting a sample like blood, saliva, or tissue, which is then examined in a lab for signs of these organisms.

18 services18 patients

Fungal culture (mold or yeast) 87102

A fungal culture is a lab test performed to detect and identify fungi in a sample from the body. It helps determine if a fungal infection is present and, if so, the type of fungus involved. The test involves collecting a sample, such as skin scrapings or a throat swab, which is then sent to a lab for analysis.

18 services16 patients

Special fluorescent and/or acid fast stain for microorganism 87206

A special fluorescent or acid-fast stain for microorganisms is a lab procedure to identify specific bacteria in a sample. This technique uses special dyes that cause bacteria to glow under a microscope or resist decolorization, aiding in their detection.

18 services16 patients

Valproic acid level, total 80164

A Valproic Acid Level, Total test measures the amount of valproic acid, a medication used to treat seizures and mood disorders, in your blood. This helps ensure the drug is working effectively and safely. Regular testing is necessary to monitor and adjust dosage if needed.

17 services15 patients

White blood cell measure, stool specimen 89055

A white blood cell measure in a stool specimen is a test that checks for inflammation or infection in your digestive tract. The stool is collected and examined in a lab, where the number of white blood cells is counted. This helps in diagnosing conditions like colitis or Crohn's disease.

17 services17 patients

Blood creatinine level 82565

A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.

16 services15 patients

Urine osmolality (concentration) measurement 83935

Urine osmolality measurement is a test that assesses your body's water balance by examining how well your kidneys concentrate urine. It involves collecting a urine sample which is then tested in a lab. This can help diagnose various conditions affecting kidney function.

16 services14 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

16 services12 patients

Gonadotropin, follicle stimulating (reproductive hormone) level 83001

This is a test that measures the level of a hormone in your body known as follicle stimulating hormone (FSH). FSH plays a key role in the body's reproductive processes. It's important for growth and the healthy functioning of the body.

15 services12 patients

Hepatitis b core antibody (igm) measurement 86705

The Hepatitis B Core Antibody (IgM) measurement is a blood test that helps to identify if you have an acute or recent infection of Hepatitis B, a virus that affects the liver. It's not a test for immunity, but rather for detecting active infection.

15 services15 patients

Ammonia level 82140

An ammonia level test measures the amount of ammonia in your blood. Too much ammonia in your blood can cause confusion, lethargy, or even coma. It's often used to check liver function or to see if treatments for liver disease are working. It's a simple blood draw.

14 services13 patients

Insulin measurement, total 83525

Insulin measurement, total, is a blood test that checks the amount of insulin â€” a hormone regulating blood sugar â€” in your body. It helps diagnose diabetes and other conditions related to insulin. The test involves a simple blood draw and is generally safe and quick.

14 services14 patients

Urine sodium level 84300

A urine sodium level test measures the amount of sodium in your urine. Sodium is a key element that helps regulate water balance in your body. This test helps assess how your kidneys are functioning and can identify potential health issues.

14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36617 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

96.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.76

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 10

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

HECTOR D CHAVARRIA BERNAL MD

Pathology (Anatomic Pathology & Clinical Pathology)