DR. SCOTT A CARTER MD
NPI 1316953771
Emergency Medicine - Emergency Medical Services in Arlington, VA

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
1528 N JOHNSON ST, ARLINGTON, VA 22201(602) 405-7154 Get Directions Write a Review

NPPES record last updated: November 21, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Scott A Carter Md NPPES

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

DR. SCOTT A CARTER MD (NPI 1316953771) is an individual emergency medical services provider in Arlington, Virginia, licensed in Virginia (01011242869) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1316953771
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. SCOTT A CARTERCredential: MD
Location Address1528 N JOHNSON STArlington, VA 22201-5073
Mailing Address1528 N Johnson StArlington, VA 22201-5073 · (602) 405-7154
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 31, 2006
Last NPPES UpdateNovember 21, 2016
✔ NPI 1316953771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
Licenses✔ Licensed in VA · 01011242869✔ Licensed in AZ · 34378✔ Licensed in MD · D66945✔ Licensed in DC · MD037816
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Also ListedEmergency MedicineTaxonomy 207P00000X · License Q7158 (TX)
1528 N JOHNSON ST, Arlington, VA 22201

Other Identifiers 4

Medicare UPINI49826
Medicaid038596AZ
Medicaid1316953771VA
Medicare PINMC12626VA

Accepted 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

Dr. Scott A 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 ID941216147
PECOS Enrollment IDI20180215002459
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

13

Medicare enrollment records show Scott Carter reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
2669 SCENIC DR
Alamogordo, NM 88310
  • Reassigned Medicare billing, New Mexico enrollment
  • 48 clinicians in this Medicare group
Emergency Medicine
2000 W BETHANY HOME RD
Phoenix, AZ 85015
  • Reassigned Medicare billing, Arizona enrollment
  • 260 clinicians in this Medicare group
Emergency Medicine
2735 SILVER CREEK RD
Bullhead City, AZ 86442
  • Reassigned Medicare billing, Arizona enrollment
  • 55 clinicians in this Medicare group
Critical Access
1081 N CHINA LAKE BLVD
Ridgecrest, CA 93555
  • Reassigned Medicare billing, California enrollment
  • 143 clinicians in this Medicare group
Emergency Medicine
25500 MEDICAL CENTER DR
Murrieta, CA 92562
  • Reassigned Medicare billing, California enrollment
  • 112 clinicians in this Medicare group
Urgent Care
1331 W AVENUE J UNIT 101
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
Emergency Medicine
14662 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 121 clinicians in this Medicare group
Emergency Medicine
13222 BLOOMFIELD AVE
Norwalk, CA 90650
  • Reassigned Medicare billing, California enrollment
  • 55 clinicians in this Medicare group
Emergency Medicine
4060 WHITTIER BLVD
Los Angeles, CA 90023
  • Reassigned Medicare billing, California enrollment
  • 30 clinicians in this Medicare group
Emergency Medicine
2623 E SLAUSON AVE
Huntington Park, CA 90255
  • Reassigned Medicare billing, California enrollment
  • 74 clinicians in this Medicare group

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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
154 services146 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
102 services100 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
33 services31 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services22 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22201 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$21.29 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
1 supplier13 claims13 services$119.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Scott Carter's NPI number?

The NPI number for Scott Carter is 1316953771. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Scott Carter located?

Scott Carter practices at 1528 N Johnson St, Arlington, VA 22201. The listed phone number is (602) 405-7154.

What is Scott Carter's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Scott Carter enrolled in Medicare?

Yes. Scott 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 Scott Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Carter reassigns Medicare benefits to 13 organizations: Four Corners Emergency Physicians PLLC (Alamogordo, NM), Emergency Group Of Arizona Professional Corporation (Phoenix, AZ), Tempe Emergency Physicians, Ltd (Bullhead City, AZ), Ridgecrest Regional Hospital (Ridgecrest, CA), Em Alliance California, Apc (Murrieta, CA) and 8 more organizations, listed in the Medicare section above. 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 Scott Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Carter accept?

Health plans from Blue Cross Blue Shield of Arizona list Scott 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 Scott Carter was last updated on November 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.