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THOMAS LLOYD CARTER JR. M.D.
NPI 1255364139
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Chesapeake, VA

Active since July 07, 2006PECOS Enrolled
83.76/100
CMS Quality Rating
113 GAINSBOROUGH SQ STE 400, CHESAPEAKE, VA 23320(757) 842-4499(757) 842-4490 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2020, Apr 21, 2017 (2 updates tracked since 2017).

About Thomas Lloyd Carter Jr. M.d. NPPES

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

THOMAS LLOYD CARTER JR. M.D. (NPI 1255364139) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Chesapeake, Virginia, licensed in Virginia (0101257978) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255364139
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameTHOMAS LLOYD CARTER JR.Credential: M.D.
Location Address113 GAINSBOROUGH SQ STE 400Chesapeake, VA 23320-1714
Mailing AddressPo Box 11314Belfast, ME 04915-4004 · (757) 842-4481 · Fax (757) 312-3135
Phone(757) 842-4499
Fax(757) 842-4490
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1255364139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in VA · 0101257978✔ Licensed in IL · 036109169✔ Licensed in PA · MD034254E
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
113 GAINSBOROUGH SQ STE 400, Chesapeake, VA 23320
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Other Identifiers 3

Medicaid036109169IL
Medicaid34379400WI
OtherP00034827Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Lloyd Carter Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23320 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

83.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.35
Promoting Interoperability100
Improvement Activities40
Cost77.53

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.

JENNY L ROBERTS PA
Physician Assistant (Medical)
113 GAINSBOROUGH SQ STE 400
CHESAPEAKE, VA 23320
Chesapeake City (757) 842-4499
DR. WEI WEI M.D.
Surgery
113 GAINSBOROUGH SQ STE 400
CHESAPEAKE, VA 23320
Chesapeake City (757) 842-4499
JENNIFER LAUREN ALLISON APRN, FNP-BC
Nurse Practitioner (Family)
113 GAINSBOROUGH SQ STE 400
CHESAPEAKE, VA 23320
Chesapeake City (757) 842-4499
LAUREN ASHLEY ALLEN
Physician Assistant
113 GAINSBOROUGH SQ STE 400
CHESAPEAKE, VA 23320
Chesapeake City (757) 842-4499
KENYA T MADRIC-WRIGHT FNP
Nurse Practitioner (Family)
113 GAINSBOROUGH SQ STE 400
CHESAPEAKE, VA 23320
Chesapeake City (757) 842-4499
LEIGH R JOHNSON FNP
Nurse Practitioner (Family)
113 GAINSBOROUGH SQ STE 400
CHESAPEAKE, VA 23320
Chesapeake City (757) 842-4499
DR. REENA NANDITA TAHILRAMANI M.D.
Surgery
113 GAINSBOROUGH SQ STE 400
CHESAPEAKE, VA 23320
Chesapeake City (757) 842-4499
ROBERT BRIAN MCLENDON MD
Surgery
113 GAINSBOROUGH SQ STE 400
CHESAPEAKE, VA 23320
Chesapeake City (757) 842-4499

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 Thomas Carter's NPI number?

The NPI number for Thomas Carter is 1255364139. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Thomas Carter located?

Thomas Carter practices at 113 Gainsborough Sq Ste 400, Chesapeake, VA 23320. The listed phone number is (757) 842-4499.

What is Thomas Carter's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Thomas Carter enrolled in Medicare?

Yes. Thomas Carter is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Carter accept?

Health plans from CareSource list Thomas 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 Thomas Carter was last updated on November 17, 2020. 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.