1. Home
  2. Directory
  3. Alabama
  4. Birmingham
  5. Internal Medicine
  6. NPI Profile

HERNANDO D. CARTER MD
NPI 1265604227
Internal Medicine in Birmingham, AL

Active since March 31, 2008PECOS EnrolledAccepts Medicare Assignment
500 22ND ST S, BIRMINGHAM, AL 35233(205) 934-9999 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2026, Aug 16, 2023, Nov 21, 2016 (3 updates tracked since 2016).

About Hernando D. Carter Md NPPES

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

HERNANDO D. CARTER MD (NPI 1265604227) is an individual internal medicine provider in Birmingham, Alabama, licensed in Alabama (28511) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Midfield, and is a graduate of University Of Alabama School Of Medicine (2006).

NPPES Registry Identity

NPI1265604227
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHERNANDO D. CARTERCredential: MD
Location Address500 22ND ST SBirmingham, AL 35233-3110
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Phone(205) 934-9999
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2006
Enumeration DateMarch 31, 2008
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1265604227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 28511
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
500 22ND ST S, Birmingham, AL 35233
Open in Google Maps ↗

Secondary Practice Location 1

Location 1165 Bessemer Super HwyMidfield, AL 35228-2101 · Phone (205) 366-1534

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee 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

Hernando D. 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 ID7719057025
PECOS Enrollment IDI20080529000324
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

5

Medicare enrollment records show Hernando Carter reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Alabama Health Services Foundation, PC
0.1 mi
Ambulatory Surgical
2000 6TH AVE SOUTH
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1124213376 (205) 801-8000
Vincentian Physician Services LLC
0.6 mi
Family Medicine
810 SAINT VINCENT'S DRIVE, 3RD FLOOR; PHYSICIAN DEVELOPMENT DEPT
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 263 clinicians in this Medicare group
NPI 1851698310 (205) 930-2346
Ah Carter, MD, LLC
5.7 mi
Internal Medicine
1250 JEFF GERMANY PKWY
Birmingham, AL 35214
  • Reassigned Medicare billing, Alabama enrollment
NPI 1952731457 (256) 287-2580
Archwell Health Professional Services Of Alabama, LLC
7.3 mi
Internal Medicine
165 BESSEMER SUPER HWY
Midfield, AL 35228
  • Reassigned Medicare billing, Alabama enrollment
  • 32 clinicians in this Medicare group
NPI 1033792502 (205) 336-1534
Alpha Hospitalist Services
57 mi
Hospitalist
410 BROAD ST
Gadsden, AL 35901
  • Reassigned Medicare billing, Alabama enrollment
  • 22 clinicians in this Medicare group
NPI 1376872127 (256) 438-5107

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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
165 services27 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
20 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims33 services$6.46 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$5.15 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,152 services$0.61 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$7.84 avg. paid by Medicare
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
2 suppliers12 claims15 services$78.37 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers19 claims19 services$17.72 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 20

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

CARLY ELSTON M.D.
Dermatology
500 22ND ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-9999
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Psychiatric Unit
500 22ND ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-6249
MONEKA A THOMPSON LPC
Counselor (Professional)
500 22ND ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-2902
DR. CLAIRE E PETITT MD
Dermatology
500 22ND ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-9999
REGINA BINDER RN
Registered Nurse
500 22ND ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-1327
ASHLEY PRUITT LUDVIK CRNP
Nurse Practitioner (Family)
500 22ND ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-9999
EHIMWENMA JUDITH IGBINAKENZUA
Nurse Practitioner
500 22ND ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 801-8624
DR. VICTORIA MCNEAL COWAN DO
Internal Medicine
500 22ND ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 801-7474

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 Hernando Carter's NPI number?

The NPI number for Hernando Carter is 1265604227. It was assigned to this individual provider in the NPPES registry on March 31, 2008.

Where is Hernando Carter located?

Hernando Carter practices at 500 22nd St S, Birmingham, AL 35233. The listed phone number is (205) 934-9999.

What is Hernando Carter's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hernando Carter enrolled in Medicare?

Yes. Hernando 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 Hernando Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hernando Carter reassigns Medicare benefits to 5 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL), Vincentian Physician Services LLC (Birmingham, AL), Ah Carter, MD, LLC (Birmingham, AL), Archwell Health Professional Services Of Alabama, LLC (Midfield, AL) and Alpha Hospitalist Services (Gadsden, AL). 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 Hernando Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hernando Carter accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Hernando 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 Hernando Carter was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.