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DR. KEVIN STERLING CARTER MD
NPI 1386849156
Hospitalist in Tucson, AZ

Active since June 20, 2007PECOS Enrolled
5301 E GRANT RD, TUCSON, AZ 85712(520) 324-5664(520) 324-4156 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2021, Jun 25, 2021 (2 updates tracked since 2021).

About Dr. Kevin Sterling Carter Md NPPES

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

DR. KEVIN STERLING CARTER MD (NPI 1386849156) is an individual hospitalist provider in Tucson, Arizona, licensed in Arizona (50268) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2007).

NPPES Registry Identity

NPI1386849156
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. KEVIN STERLING CARTERCredential: MD
Location Address5301 E GRANT RDTucson, AZ 85712-2805
Mailing Address5301 E Grant RdTucson, AZ 85712-2805 · (520) 324-2308 · Fax (520) 324-1406
Phone(520) 324-5664
Fax(520) 324-4156
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 2007
Enumeration DateJune 20, 2007
Last NPPES UpdateDecember 1, 20232 updates tracked since enumeration
NPPES CertifiedDecember 1, 2023
✔ NPI 1386849156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in AZ · 50268
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPediatricsTaxonomy 208000000X · License 50268 (AZ)
5301 E GRANT RD, Tucson, AZ 85712
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Other Identifiers 1

Medicaid014637AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc 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 (PECOS)

Dr. Kevin Sterling Carter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870627946
PECOS Enrollment IDI20150624003122
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

4

Medicare enrollment records show Kevin Carter reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tmc Medical Network
Same address
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 471 clinicians in this Medicare group
NPI 1750832283 (520) 327-5461
Tmcone
Same address
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 196 clinicians in this Medicare group
NPI 1467310417 (520) 324-2308
Children's Clinics For Rehabilitative Services
0.2 mi
Multi-Specialty
2600 N WYATT DR
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 138 clinicians in this Medicare group
NPI 1063454346 (520) 324-5437
Phoenix Children's Medical Group
93 mi
Multi-Specialty
5131 E SOUTHERN AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Phoenix Children's Hospital
  • 1,416 clinicians in this Medicare group
NPI 1487814240 (602) 933-0002

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85712 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

HOLLY JEANNE GRAHAM M.D.
Anesthesiology
5301 E GRANT RD, THMEP
TUCSON, AZ 85712
Pima County (520) 324-5095
SAMANTHA PENN PHARMD
Pharmacist
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5122
DR. VICTOR HUGO RUIZ PHARMD
Student in an Organized Health Care Education/Training Program
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-2516
SARA PETTEY SANDIFER MD
Student in an Organized Health Care Education/Training Program
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5095
JOSHUA LEE M.D.
Internal Medicine
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5524
VANESSA LYNN PORTOR RN
Registered Nurse (Lactation Consultant)
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5730
MRS. KRISTY BELONE FNP-C
Nurse Practitioner (Family)
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5461
LORRAINE Y YENTZER AGACNP
Nurse Practitioner (Gerontology)
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 327-5461

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 Kevin Carter's NPI number?

The NPI number for Kevin Carter is 1386849156. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Kevin Carter located?

Kevin Carter practices at 5301 E Grant Rd, Tucson, AZ 85712. The listed phone number is (520) 324-5664.

What is Kevin Carter's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Kevin Carter enrolled in Medicare?

Yes. Kevin Carter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Carter reassigns Medicare benefits to 4 organizations: Tmc Medical Network (Tucson, AZ), Tmcone (Tucson, AZ), Children's Clinics For Rehabilitative Services (Tucson, AZ) and Phoenix Children's Medical Group (Mesa, AZ). 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 Kevin Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Carter accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Kevin 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 Kevin Carter was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.