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PETER WHITNEY CARTER MD
NPI 1265428676
Internal Medicine - Hematology & Oncology in Memphis, TN

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
67.27/100
CMS Quality Rating
6029 WALNUT GROVE RD STE 301, MEMPHIS, TN 38120(901) 747-9081(901) 747-9087 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2021, Sep 25, 2019, Oct 18, 2016 (3 updates tracked since 2016).

About Peter Whitney Carter Md NPPES

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

PETER WHITNEY CARTER MD (NPI 1265428676) is an individual hematology & oncology provider in Memphis, Tennessee, licensed in Tennessee (MD15578) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and maintains a secondary practice location in New Albany.

NPPES Registry Identity

NPI1265428676
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NamePETER WHITNEY CARTERCredential: MD
Location Address6029 WALNUT GROVE RD STE 301Memphis, TN 38120-2112
Mailing Address965 Ridge Lake Blvd Ste 103Memphis, TN 38120-9446
Phone(901) 747-9081
Fax(901) 747-9087
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1983
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJune 4, 20213 updates tracked since enumeration
NPPES CertifiedJune 4, 2021
✔ NPI 1265428676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in TN · MD15578✔ Licensed in MS · 21269✔ Licensed in AR · E5308
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
6029 WALNUT GROVE RD STE 301, Memphis, TN 38120
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Secondary Practice Location 1

Location 1200 Hwy 30 WNew Albany, MS 38652-3112 · Phone (662) 636-4444 · Fax (662) 636-1696

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter Whitney Carter Md 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 ID2567463813
PECOS Enrollment IDI20070129000758
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Peter Carter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Memorial Medical Group Inc
7.8 mi
Internal Medicine
8970 WINCHESTER RD
Memphis, TN 38125
  • Reassigned Medicare billing, Tennessee enrollment
  • 581 clinicians in this Medicare group
NPI 1306089206 (901) 227-4068
Baptist Memorial Hospital-Tipton
30 mi
General Acute Care Hospital
1995 HIGHWAY 51 S
Covington, TN 38019
  • Reassigned Medicare billing, Tennessee enrollment
  • 56 clinicians in this Medicare group
NPI 1316901937 (901) 476-2621

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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 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.
329 services227 patients
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.
215 services105 patients
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.
170 services68 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.
123 services99 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
67 services56 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
63 services63 patients

Hospital Affiliations CMS Care Compare 5

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Dyersburg Regional Medical Center

Acute Care Hospitals · Dyersburg, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440072
Location400 East Tickle StreetDyersburg, TN 38024 · Dyer County
Emergency services Birthing friendly

Baptist Memorial Hospital Union City

Acute Care Hospitals · Union City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440130
Location1201 Bishop St, PO Box 310Union City, TN 38261 · Obion County
Emergency services Birthing friendly

Baptist Memorial Hospital Tipton

Acute Care Hospitals · Covington, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440131
Location1995 Highway 51 SCovington, TN 38019 · Tipton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

67.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.79
Improvement Activities40
Cost26.61

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.53 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$34.73 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers27 claims27 services$33.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

BAPTIST CANCER CENTER PHYSICIANS FOUNDATION, INC.
Specialist
6029 WALNUT GROVE RD STE 301
MEMPHIS, TN 38120
Shelby County (901) 747-9087
MRS. DONNA RENAI NORRIS APRN, BC
Nurse Practitioner (Family)
6029 WALNUT GROVE RD STE 301
MEMPHIS, TN 38120
Shelby County (901) 747-9081
DR. IAN SOLSKY MD, MPH
Surgery (Surgical Oncology)
6029 WALNUT GROVE RD STE 301
MEMPHIS, TN 38120
Shelby County (901) 747-9081
DAVID WAYNE SULLIVAN M.D.
Internal Medicine (Hematology & Oncology)
6029 WALNUT GROVE RD STE 301
MEMPHIS, TN 38120
Shelby County (901) 747-9081
MEGAN MARIE CROSIER APRN
Nurse Practitioner (Family)
6029 WALNUT GROVE RD STE 301
MEMPHIS, TN 38120
Shelby County (901) 747-9081

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 Peter Carter's NPI number?

The NPI number for Peter Carter is 1265428676. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Peter Carter located?

Peter Carter practices at 6029 Walnut Grove Rd Ste 301, Memphis, TN 38120. The listed phone number is (901) 747-9081.

What is Peter Carter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Peter Carter enrolled in Medicare?

Yes. Peter 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.

Which organizations bill Medicare for Peter Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Carter reassigns Medicare benefits to 2 organizations: Baptist Memorial Medical Group Inc (Memphis, TN) and Baptist Memorial Hospital-Tipton (Covington, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Carter accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 8 other insurers list Peter 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 Peter Carter affiliated with any hospitals?

According to CMS data, Peter Carter is affiliated with Jackson-Madison County General Hospital, Baptist Memorial Hospital, Dyersburg Regional Medical Center, Baptist Memorial Hospital Union City and Baptist Memorial Hospital Tipton.

When was this NPI record last updated?

The NPPES record for Peter Carter was last updated on June 4, 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.