CHARLES C CARTER MD DPH PLLC
NPI 1326095381
Family Medicine in Altus, OK

Active since May 27, 2006CLIA 37D1053611 · Waiver
1015 E BROADWAY ST, SUITE 102, ALTUS, OK 73521(580) 480-1600(580) 480-1601 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 5, 2022, Nov 18, 2021, May 21, 2020 and 1 more (4 updates tracked since 2018).

About Charles C Carter Md Dph Pllc NPPES

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

CHARLES C CARTER MD DPH PLLC (NPI 1326095381), doing business as Charles C Carter Md Dph, is a healthcare organization registered as a family medicine in Altus, Oklahoma and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Charles C Carter, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1326095381
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHARLES C CARTER MD DPH PLLC
Location Address1015 E BROADWAY ST, SUITE 102Altus, OK 73521
Mailing AddressPo Box 575Altus, OK 73522-0575 · (580) 480-1600 · Fax (580) 480-1601
Fax(580) 480-1601
Organization SubpartNo
Authorized OfficialCharles C CarterOwner Physician · (580) 480-1600
Enumeration DateMay 27, 2006
Last NPPES UpdateApril 5, 20224 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
✔ NPI 1326095381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 19154
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
1015 E BROADWAY ST, Altus, OK 73521

Other Names 1

Former Legal Business NameCharles C Carter Md Dph

Other Identifiers 8

OtherC-8500AR · Arkansas State License #
Medicaid100116810EOK
Other37D1053611OK · Clia Waived
Medicaid100116810DOK
Medicaid200113300AOK
Other19154OK · Ok State License #
Other203705843OK · Tricare/humana Provider #
Other445440041004OK · Bcbs Billing #

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles C Carter Md Dph Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20070730000480Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Charles C Carter MD Dph PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1356824411
1015 E BROADWAY ST STE 102
Altus, OK 73521
(580) 480-1600
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1730129750
1015 E BROADWAY ST STE 102
Altus, OK 73521
(580) 480-1600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437516788
1015 E BROADWAY ST STE 102
Altus, OK 73521
(580) 480-1600
✔ PECOSSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D1053611

Charles C Carter MD Dph, PLLC · Altus, OK
Active · expires Nov 14, 2026
CLIA Number37D1053611
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorCharles C. Carter
Laboratory Phone(580) 480-1600
Laboratory LocationCharles C Carter MD Dph, PLLC1015 E Broadway Suite 102, Altus, OK 73522
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Charles C Carter MD Dph PLLC's NPI number?

The NPI number for Charles C Carter MD Dph PLLC is 1326095381. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider was formerly known as Charles C Carter MD Dph.

Where is Charles C Carter MD Dph PLLC located?

Charles C Carter MD Dph PLLC is located at 1015 E Broadway St Suite 102, Altus, OK 73521. The listed phone number is (580) 480-1600.

What is Charles C Carter MD Dph PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles C Carter MD Dph PLLC enrolled in Medicare?

Yes. Charles C Carter MD Dph PLLC is registered in the Medicare PECOS enrollment system.

When is Charles C Carter MD Dph PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Charles C Carter MD Dph PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Charles C Carter MD Dph PLLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Charles C Carter MD Dph PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1053611) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Charles C Carter MD Dph PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Charles C Carter MD Dph PLLC 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 Charles C Carter MD Dph PLLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.