CHARLES BENJAMIN CARTER JR. M.D.
NPI 1235136565
Internal Medicine - Nephrology in Tucson, AZ

Q: What is Charles Carter's NPI number?

The NPI number for Charles Carter is 1235136565. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Q: What is Charles Carter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Charles Carter was last updated on May 20, 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.

Active since July 01, 2005PECOS EnrolledAccepts Medicare Assignment

4511 N CAMPBELL AVE STE 100, TUCSON, AZ 85718(520) 529-6500(520) 209-7337 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2021, Feb 23, 2016 (2 updates tracked since 2016).

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About Charles Benjamin Carter Jr. M.d. NPPES

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

CHARLES BENJAMIN CARTER JR. M.D. (NPI 1235136565) is an individual nephrology provider in Tucson, Arizona, licensed in Arizona (62734) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (1994).

NPPES Registry Identity

NPI1235136565

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameCHARLES BENJAMIN CARTER JR.Credential: M.D.

Location Address4511 N CAMPBELL AVE STE 100Tucson, AZ 85718-6424

Mailing Address6622 N 91st Ave Ste 220Glendale, AZ 85305-2569 · (602) 759-6883 · Fax (602) 224-3315

Phone(520) 529-6500

Fax(520) 209-7337

Sole ProprietorNo

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1994

Enumeration DateJuly 1, 2005

Last NPPES UpdateMay 20, 20212 updates tracked since enumeration

NPPES CertifiedMay 20, 2021

✔ NPI 1235136565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in AZ · 62734

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

4511 N CAMPBELL AVE STE 100, Tucson, AZ 85718

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Other Identifiers 2

Medicaid090305AZ

Medicaid200199750AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, CareSource 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

Charles Benjamin Carter Jr. 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 ID648303545

PECOS Enrollment IDI20210413001376

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 3

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.

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.

247 services140 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.

107 services87 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.

77 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85718 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Other Providers at the Same Location NPPES 2

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

MRS. GERTRUDE AREJA OSTER APRN

Nurse Practitioner

4511 N CAMPBELL AVE STE 100
TUCSON, AZ 85718

Pima County (520) 529-6500

DR. RENEE KISHBAUGH DC

Chiropractor

4511 N CAMPBELL AVE STE 100
TUCSON, AZ 85718

Pima County (520) 247-5549

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 Charles Carter's NPI number?

The NPI number for Charles Carter is 1235136565. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Charles Carter located?

Charles Carter practices at 4511 N Campbell Ave Ste 100, Tucson, AZ 85718. The listed phone number is (520) 529-6500.

What is Charles Carter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Charles Carter enrolled in Medicare?

Yes. Charles 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 Charles Carter accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, CareSource, Imperial Insurance Companies, Inc. and UnitedHealthcare list Charles 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 Charles Carter was last updated on May 20, 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.