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CYNTHIA CHERIE CARTER
NPI 1265053706
Physician Assistant in Louisville, KY

Active since May 06, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
950 BRECKENRIDGE LN STE 280, LOUISVILLE, KY 40207(844) 893-0012 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2025, Apr 6, 2021, May 6, 2020 (3 updates tracked since 2020).

About Cynthia Cherie Carter NPPES

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

CYNTHIA CHERIE CARTER (NPI 1265053706) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (PA2671) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265053706
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCYNTHIA CHERIE CARTER
Location Address950 BRECKENRIDGE LN STE 280Louisville, KY 40207-5900
Mailing Address352 W Northfield Blvd Ste 3cMurfreesboro, TN 37129-1899 · (844) 893-0012
Phone(844) 893-0012
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 6, 2020
Last NPPES UpdateMay 22, 20253 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1265053706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · PA2671
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
950 BRECKENRIDGE LN STE 280, Louisville, KY 40207
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 E Chestnut St Bldg Suite303Louisville, KY 40202-1831 · Phone (502) 629-5552 · Fax (502) 629-3132

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 and accepts Medicare assignment

Cynthia Cherie 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 ID8022425222
PECOS Enrollment IDI20210407000102
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.

Injection, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
5,396 services18 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
67 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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

Other Providers at the Same Location NPPES

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

HEATHER J RUCCIO PA
Physician Assistant (Medical)
950 BRECKENRIDGE LN STE 280
LOUISVILLE, KY 40207
Jefferson County (844) 893-0012

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 Cynthia Carter's NPI number?

The NPI number for Cynthia Carter is 1265053706. It was assigned to this individual provider in the NPPES registry on May 6, 2020.

Where is Cynthia Carter located?

Cynthia Carter practices at 950 Breckenridge Ln Ste 280, Louisville, KY 40207. The listed phone number is (844) 893-0012.

What is Cynthia Carter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cynthia Carter enrolled in Medicare?

Yes. Cynthia 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 Cynthia Carter accept?

Health plans from CareSource list Cynthia 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 Cynthia Carter was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.