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LISA CARTER
NPI 1225599319
Internal Medicine - Infectious Disease in Bristol, TN

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL PARK BLVD STE 208E, BRISTOL, TN 37620(423) 844-3993 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Carter NPPES

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

LISA CARTER (NPI 1225599319) is an individual infectious disease provider in Bristol, Tennessee, licensed in Tennessee (73105) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1225599319
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameLISA CARTER
Location Address1 MEDICAL PARK BLVD STE 208EBristol, TN 37620
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111 · Fax (423) 282-1657
Phone(423) 844-3993
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1225599319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in TN · 73105✔ Licensed in OH · 35.151053
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.151053 (OH), 73105 (TN)
1 MEDICAL PARK BLVD STE 208E, Bristol, TN 37620
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Secondary Practice Location 1

Location 1128 E Apple St Fl 2Dayton, OH 45409-2902 · Phone (937) 208-2004

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, CareSource, Cigna Healthcare and more.Insurance ›

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

Lisa Carter 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 ID8123351798
PECOS Enrollment IDI20250423003206
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

2

Medicare enrollment records show Lisa Carter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellmont Medical Associates Inc
1.8 mi
Pulmonary Disease
350 BLOUNTVILLE HWY STE 106
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1780986257 (423) 968-2446
Premier Health Specialists Inc
229 mi
Psychologist
5900 LONG MEADOW DR, SUITE 300
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
NPI 1831466986 (937) 478-0749

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 2

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.
63 services33 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.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
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.

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 Lisa Carter's NPI number?

The NPI number for Lisa Carter is 1225599319. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Lisa Carter located?

Lisa Carter practices at 1 Medical Park Blvd Ste 208E, Bristol, TN 37620. The listed phone number is (423) 844-3993.

What is Lisa Carter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Lisa Carter enrolled in Medicare?

Yes. Lisa 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 Lisa Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Carter reassigns Medicare benefits to 2 organizations: Wellmont Medical Associates Inc (Bristol, TN) and Premier Health Specialists Inc (Middletown, OH). 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 Lisa Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Carter accept?

Health plans from BlueCross BlueShield of Tennessee, CareSource, Cigna Healthcare, Molina Healthcare and UnitedHealthcare list Lisa 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 Lisa Carter affiliated with any hospitals?

According to CMS data, Lisa Carter is affiliated with Wellmont Bristol Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Carter was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.