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DR. MICHAEL D CARTER M.D.
NPI 1245207919
Orthopaedic Surgery in Wilmington, NC

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
5220 OLEANDER DR, WILMINGTON, NC 28403(910) 793-1043(910) 793-1243 Get Directions Write a Review

NPPES record last updated: October 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael D Carter M.d. NPPES

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

DR. MICHAEL D CARTER M.D. (NPI 1245207919) is an individual orthopaedic surgery provider in Wilmington, North Carolina, licensed in North Carolina (000-32926) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Up Health System Portage, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1986).

NPPES Registry Identity

NPI1245207919
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MICHAEL D CARTERCredential: M.D.
Location Address5220 OLEANDER DRWilmington, NC 28403-7021
Mailing Address5220 Oleander DrWilmington, NC 28403-7021 · (910) 793-1043 · Fax (910) 793-1243
Phone(910) 793-1043
Fax(910) 793-1243
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1986
Enumeration DateMarch 2, 2006
Last NPPES UpdateOctober 18, 2011
✔ NPI 1245207919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NC · 000-32926
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
5220 OLEANDER DR, Wilmington, NC 28403
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Other Identifiers 10

Other65530NC · Medcost
Other21550NC · Blue Cross Blue Sheild
Other092889NC · United Health Care
Other2466248001NC · Cigna
Medicaid8921550NC
Other011257NC · Doctors Health Plan
Other5054515NC · Medcost-aetna-pronet
OtherP00111991NC · Rail Road Medicare
Medicare UPINC87418NC
Medicare ID-Type Unspecified212037HNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.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. Michael D 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 ID446239990
PECOS Enrollment IDI20150923001380
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.
20 services15 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.
16 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Up Health System Portage

Acute Care Hospitals · Hancock, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number230108
Location500 Campus DriveHancock, MI 49930 · Houghton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 8

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

RYAN CHRISTOPHER MURPHY PA-C
Physician Assistant (Surgical)
5220 OLEANDER DR, SECOND FLOOR
WILMINGTON, NC 28403
New Hanover County (910) 395-8333
EMERGEORTHO, P.A.
Durable Medical Equipment & Medical Supplies
5220 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 332-3800
KARA MORRIS CAIN DPT
Physical Therapist
5220 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 667-8104
BOWLING ORTHOPAEDICS
Orthopaedic Surgery
5220 OLEANDER DR, SECOND FLOOR
WILMINGTON, NC 28403
New Hanover County (910) 395-8333
CARTER ORTHOPAEDICS AND SPORTS MEDICINE PLLC
Orthopaedic Surgery (Sports Medicine)
5220 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 793-1043
BOWLING ORTHOPAEDICS PA
Orthopaedic Surgery
5220 OLEANDER DR, 2ND FLOOR
WILMINGTON, NC 28403
New Hanover County (910) 395-8333
MELISSA MAILLARD
Physical Therapist (Orthopedic)
5220 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 667-8104
DR. JACK W BOWLING JR. MD
Orthopaedic Surgery
5220 OLEANDER DR, FL 2
WILMINGTON, NC 28403
New Hanover County (910) 395-8333

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 Michael Carter's NPI number?

The NPI number for Michael Carter is 1245207919. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Michael Carter located?

Michael Carter practices at 5220 Oleander Dr, Wilmington, NC 28403. The listed phone number is (910) 793-1043.

What is Michael Carter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Carter enrolled in Medicare?

Yes. Michael 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 Michael Carter accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michael 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 Michael Carter affiliated with any hospitals?

According to CMS data, Michael Carter is affiliated with Up Health System Portage.

When was this NPI record last updated?

The NPPES record for Michael Carter was last updated on October 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.