CARLY MARIE SALTER MD
NPI 1457858326
Family Medicine in Fond Du Lac, WI

Q: What is Carly Salter's NPI number?

The NPI number for Carly Salter is 1457858326. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Q: What is Carly Salter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carly Salter was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 09, 2018PECOS EnrolledAccepts Medicare Assignment

420 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-8200(920) 926-8907 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 9, 2021, Nov 8, 2019, Apr 9, 2018 (3 updates tracked since 2018).

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About Carly Marie Salter Md NPPES

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

CARLY MARIE SALTER MD (NPI 1457858326) is an individual family medicine provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (72330-20) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Saint Louis University School Of Medicine (2018).

NPPES Registry Identity

NPI1457858326

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameCARLY MARIE SALTERCredential: MD

Location Address420 E DIVISION STFond Du Lac, WI 54935-4560

Mailing Address1808 W Beltline Hwy, Attn: Nancy Pierce-fdl Regional ClinicMadison, WI 53713-2334 · (920) 926-8343

Phone(920) 926-8200

Fax(920) 926-8907

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2018

Enumeration DateApril 9, 2018

Last NPPES UpdateAugust 9, 20213 updates tracked since enumeration

NPPES CertifiedAugust 9, 2021

✔ NPI 1457858326 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 WI · 72330-20

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

420 E DIVISION ST, Fond Du Lac, WI 54935

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Quartz.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

Carly Marie Salter 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 ID4688921810

PECOS Enrollment IDI20210812002051

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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

123 services85 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

97 services75 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

57 services57 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

46 services46 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.

26 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

23 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520088

Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County

Emergency services Birthing friendly

Waupun Memorial Hospital

Critical Access Hospitals · Waupun, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521327

Location620 W Brown StWaupun, WI 53963 · Fond Du Lac County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

MARY R KELM NP

Nurse Practitioner