CATHERINE D CARTER CFNP
NPI 1245558626
Nurse Practitioner - Family in Morgantown, WV

Active since May 11, 2010PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506(304) 598-4800 Get Directions Write a Review

NPPES record last updated: May 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Catherine D Carter Cfnp NPPES

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

CATHERINE D CARTER CFNP (NPI 1245558626) is an individual family provider in Morgantown, West Virginia, licensed in West Virginia (54413) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of West Virginia University School Of Medicine (2010).

NPPES Registry Identity

NPI1245558626
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCATHERINE D CARTERCredential: CFNP
Location Address1 MEDICAL CENTER DRIVEMorgantown, WV 26506
Mailing AddressPo Box 780Morgantown, WV 26507-0780 · (304) 293-7401
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2010
Enumeration DateMay 11, 2010
NPI 1245558626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WV · 54413
1 MEDICAL CENTER DRIVE, Morgantown, WV 26506

Accepted 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

Catherine D Carter Cfnp 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 ID3375667587
PECOS Enrollment IDI20100825000135
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 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.

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.
202 services121 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
27 services22 patients

Hospital Affiliations CMS Care Compare 5

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Grafton City Hospital, Inc

Critical Access Hospitals · Grafton, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511307
Location1 Hospital PlazaGrafton, WV 26354 · Taylor County
Emergency services

Braxton County Memorial Hospital, Inc

Critical Access Hospitals · Gassaway, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511308
Location100 Hoylman DriveGassaway, WV 26624 · Braxton County
Emergency services

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511322
Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26506 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Family Medicine
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Physical Therapist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Family Medicine
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Internal Medicine (Gastroenterology)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Hospitalist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Emergency Medicine
1 MEDICAL CENTER DRIVE, ROOM 4601
MORGANTOWN, WV 26506
Neurological Surgery
1 MEDICAL CENTER DRIVE, ROOM 4300
MORGANTOWN, WV 26506
Nurse Practitioner (Family)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

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 Catherine Carter's NPI number?

The NPI number for Catherine Carter is 1245558626. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Catherine Carter located?

Catherine Carter practices at 1 Medical Center Drive, Morgantown, WV 26506. The listed phone number is (304) 598-4800.

What is Catherine Carter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Catherine Carter enrolled in Medicare?

Yes. Catherine 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 Catherine Carter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Catherine 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 Catherine Carter affiliated with any hospitals?

According to CMS data, Catherine Carter is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc, Grafton City Hospital, Inc, Braxton County Memorial Hospital, Inc and Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Catherine Carter was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.