THOMAS BENCE CARTER DO
NPI 1366555674
Internal Medicine - Nephrology in Opelika, AL

Q: What is Thomas Carter's NPI number?

The NPI number for Thomas Carter is 1366555674. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Thomas Carter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Carter was last updated on June 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment

44.45/100

CMS Quality Rating

2609 VILLAGE PROFESSIONAL DR, SUITE 3, OPELIKA, AL 36801(334) 749-6523(334) 742-0242 Get Directions Write a Review

NPPES record last updated: June 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Thomas Bence Carter Do NPPES

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

THOMAS BENCE CARTER DO (NPI 1366555674) is an individual nephrology provider in Opelika, Alabama, licensed in Alabama (DO175) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (1987).

NPPES Registry Identity

NPI1366555674

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameTHOMAS BENCE CARTERCredential: DO

Location Address2609 VILLAGE PROFESSIONAL DR, SUITE 3Opelika, AL 36801-5442

Mailing Address2609 Village Professional Dr, Suite 3Opelika, AL 36801-5442 · (334) 749-6523 · Fax (334) 742-0242

Phone(334) 749-6523

Fax(334) 742-0242

Sole ProprietorNo

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 1987

Enumeration DateAugust 17, 2006

Last NPPES UpdateJune 18, 2010

✔ NPI 1366555674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in AL · DO175

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License DO175 (AL)

2609 VILLAGE PROFESSIONAL DR, Opelika, AL 36801

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Other Identifiers 9

Medicare UPINE10925

Other1366555674AL · Npi

Other51028338AL · Bcbs Opelika

Other51028341AL · Bcbs Tuskegee

Other51028339AL · Bcbs Dadeville

Other51036642AL · Bcbs Lafayette

Medicaid528701590AL

Other51028340AL · Bcbs Langdale

OtherCC1726AL · Rrmc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

Thomas Bence Carter Do 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 ID8729104195

PECOS Enrollment IDI20100923000681

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 7

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

181 services97 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.

149 services60 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

88 services46 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

66 services45 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

40 services13 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.

32 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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.

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.

44.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

88.19

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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.

CHARLES J DISKIN MD

Internal Medicine (Nephrology)